Lis franc reduction&orif #lisfranc #lis_franc

A Lisfranc injury involves damage to the ligaments and/or bones that support the midfoot. "Lisfranc reduction and ORIF" refers to the surgical treatment of this injury. Here's a breakdown:  

Lisfranc Injury:

The Lisfranc joint complex is crucial for the stability of the midfoot.  
Injuries can range from simple sprains to severe fractures and dislocations.  
These injuries often occur from:
Direct trauma (e.g., a heavy object falling on the foot).
Indirect trauma (e.g., a twisting injury during sports).  
Lisfranc Reduction and ORIF:

Reduction:
This refers to the process of realigning the bones and joints to their normal anatomical position.
In a Lisfranc injury, this means restoring the proper alignment of the tarsometatarsal joints.  
ORIF (Open Reduction and Internal Fixation):
This is a surgical procedure.  
"Open" means that an incision is made to directly access the injured area.
"Internal Fixation" means that hardware, such as screws and plates, is used to hold the bones in their correct position while they heal.  
The goal of ORIF is to achieve and maintain anatomical reduction, which is vital for proper foot function.  
 
Key Aspects of the Procedure:

Surgical Approach:
The surgeon will make incisions to access the Lisfranc joint complex.
The specific approach depends on the pattern and severity of the injury.  
Reduction:
The displaced bones and joints are carefully realigned.  
Fixation:
Screws and/or plates are used to stabilize the joints.  
This hardware provides support during the healing process.
Post-operative Care:
This typically involves:
Immobilization (e.g., in a cast or boot).  
Rest and elevation.  
Physical therapy to regain strength and range of motion.  
In some cases the hardware may be removed in a second surgery.
Why ORIF is Often Necessary:

Lisfranc injuries can lead to long-term complications if not treated properly, including:
Chronic pain.  
Arthritis.
Deformity.  
Therefore, ORIF is often the preferred treatment for unstable Lisfranc injuries to restore proper alignment and function.

Dr.. / Bahaa eldin Saeed :
• The official channel of Dr. Bahaa El Din Saeed, PhD in Orthopedics, Cairo University.
• Consultant of orthopedics, endoscopy and fractures, Cairo University Hospitals, Al Salam International Hospital, Misr International Hospital and Dar Al Fouad Hospital.

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