Author(s): Dr. J Kumaran, Dr. R Neelakrishnan, Dr. V Bharathiselvan and Dr. Anush Rao

Abstract: This study is an attempt to analyse the midterm results of “functional outcome of lisfranc fracture dislocations managed by various operative methods” in rural south Indian population. Lisfranc Fracture dislocations have low incidence as they are commonly missed. Painful malunion or impaired functions may result if not treated adequately. Anatomic reduction and internal fixation is recommended. The study involves 15 patients, aged 18 to 65 admitted to our hospital, Rajah Muthiah Medical College, Chidambaram for period of 24 months from May 2016 to April 2018.Myerson’s Classification of lisfranc fracture disloaction was used to classify and manage the injuries accordingly. Patients were managed with surgical reduction (Open or closed) using Kwires/Screws. Post operatively immobilisation was done using BK cast/slab for a period varying from 4 - 12 weeks and later Gradual weight bearing allowed after 6 -8 weeks. AOFAS Midfoot score was used to document the prognosis. The study involves 15 patients, 11 men and 4 women aged 18 to 65years (mean = 31) admitted to our hospital, for period of 24 months from May 2016 to April 2018 (mean follow up period - 9 months). Patients with anatomic reduction achieved higher mean AOFAS foot score.Type B fractures had a better outcome than Type A and Type C fractures.Thus we conclude that Anatomic reduction is the mainstay in the operative management of Lisfranc fracture dislocations.

DOI: https://doi.org/10.33545/orthor.2018.v2.i4b.78