Case Report: Lisfranc Fracture Variant Treated with Multiple Modalities of Fixation

  • Authors

    • Dr. Vinod Nair Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil ‎Vidyapeeth (Deemed to be University), Pune, India, 411018
    • Dr. Prashant Pawar Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil ‎Vidyapeeth (Deemed to be University), Pune, India, 411018
    • Dr. Urva Dholu Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil ‎Vidyapeeth (Deemed to be University), Pune, India, 411018
    • Dr. Shashank Ugile Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil ‎Vidyapeeth (Deemed to be University), Pune, India, 411018
    • Dr. Rishabh Aggarwal Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil ‎Vidyapeeth (Deemed to be University), Pune, India, 411018
    • Dr. Satyam Jawa Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil ‎Vidyapeeth (Deemed to be University), Pune, India, 411018
    https://doi.org/10.14419/e7h6da82

    Received date: July 23, 2025

    Accepted date: September 4, 2025

    Published date: September 14, 2025

  • Lisfranc Fracture; Open Reduction Internal Fixation; Foot Trauma; Tarsometatarsal Injury

  • Abstract

    Introduction: Lisfranc fractures are rare but serious injuries of the midfoot, with potential ‎long-term consequences such as chronic pain and deformity if not adequately treated. ‎This case report presents a Lisfranc fracture variant treated with multiple fixation ‎modalities, highlighting the effectiveness of combining open reduction and internal ‎fixation (ORIF) with plating, ORIF with cannulated screws (CC screws), and closed ‎reduction with internal fixation (CRIF) using K-wires.

    Case Presentation: Case 1: A 39-year-old female sustained high-energy trauma involving ‎the 1st–4th tarsometatarsal joints. She underwent ORIF with plating for the 1st TMT ‎joint, ORIF with CC screws for the 2nd and 3rd TMT joints, and CRIF with K-wire ‎fixation for the 4th TMT joint.‎

    ‎Case 2: A 56-year-old female sustained a comminuted fracture of the medial cuneiform ‎with instability at the naviculo-cuneiform joint, requiring ORIF with plating and CC ‎screw fixation.

    Results: Both patients achieved excellent clinical and radiological outcomes, with Foot ‎and Ankle Outcome Scores (FAOS) of 96 and 92, respectively. Radiographs showed ‎proper alignment and stable union, with no hardware-related complications.

    Conclusion: This report illustrates the value of individualized, multimodal fixation in ‎Lisfranc fractures, enabling stable reduction, preservation of joint motion, and optimal ‎functional recovery.‎

  • References

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  • How to Cite

    Nair, D. V., Pawar, D. P., Dholu, D. U., Ugile, D. S., Aggarwal, D. R., & Jawa, D. S. (2025). Case Report: Lisfranc Fracture Variant Treated with Multiple Modalities of Fixation. International Journal of Basic and Applied Sciences, 14(5), 427-431. https://doi.org/10.14419/e7h6da82