What to Learn from this Article?


Management of Neglected Lisfrancs Dislocation.


Case Report |  Volume 4 | Issue 2 | JOCR April-June 2014 | Page 42-46 | Kale DR, Khadabadi NA, Putti BB, Jatti RS. DOI: 10.13107/jocr.2250-0685.166


Authors: Kale DR[1], Khadabadi NA[2], Putti BB[1], Jatti RS[1]

[1] Jawaharlal Nehru Medical College, 10, Nehru Nagar, Belgaum, Karnataka. India.

Address of Correspondence:

Dr. Nikhil A Khadabadi, Plot No 16, 5 Cross, Azam Nagar, Belgaum, Karnataka. India 590010. Phone: 0831-2478602, Mobile: +91-9886837970. Email: nik.khadabadi@gmail.com


Abstract

Introduction: Lisfrancs Fracture dislocation is not commonly seen and it often goes missed leading to numerous complications. We present a case of neglected Lisfrancs fracture dislocation who presented after 1 month and its management.

Case Report: A 27-year-old man came with the complaints of pain and swelling of the right foot following a fall from a motorcycle 1 month back. On Radiographic evaluation it showed presence Lisfrancs fracture Dislocation with comminuted fracture of the proximal phalanx of the great toe and distal fibula fracture. Closed reduction was attempted initially which was unsuccessful and was followed by open reduction which also failed. Reduction was then achieved using Wagner’s external fixation distractor device and supplemented with percutaneously passed screws. The external fixator was continued for 3 weeks followed by below knee cast for 6 weeks. The patient regained normal gait and returned to work and his previous physical activity level without recurrent dislocation.

Conclusion: This report highlights the necessity of prompt open reduction and the need of external fixation to achieve and maintain reduction in case of neglected cases. We advocate this approach to achieve reduction in neglected cases where open reduction is unsuccessful.

Keywords: Fractures/dislocation, foot, Lisfrancs, neglected, external fixator.


How to Cite This Article: Kale DR, Khadabadi NA, Putti BB, Jatti RS. One Month Old Neglected Lisfrancs Fracture Dislocation Treated with Wagner’s External Fixator and Percutaneous Screw Fixation : A Case Report. Journal of Orthopaedic Case Reports 2014 April-June;4(2): 42-46. Available from: http://www.jocr.co.in/wp/2014/01/11/2250-0685-147-fulltext/

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