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A Complex Variant of Lisfranc Joint Complex Injury

Güven Bulut, MD ^*, Davud Yasmin, MD ^*, Nurettin Heybeli, MD , Hüseyin Yener Erken, MD ^* and Muzaffer Yildiz, MD ^*

^* Orthopedics and Traumatology, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Kartal, Istanbul, Turkey.
Orthopaedics and Traumatology, Trakya University, Faculty of Medicine, Edirne, Turkey.

Corresponding author: Güven Bulut, MD, Orthopedics and Traumatology, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Kartal, Istanbul, 34865 Turkey. (E-mail: guvenbulut{at}yahoo.com)

Abstract

We report an unusual case of a variant of Lisfranc injury, plantar dislocation of the medial cuneiform with plantar fracture-dislocation of the intermediate cuneiform and dorsal fracture-dislocation of the lateral cuneiform, which has never been reported, to our knowledge. The entire pathologic abnormality was treated by open reduction and fixation with Kirschner wires, which were removed 8 weeks postoperatively because of pin-tract infection. Complex regional pain syndrome, which was a problem early in the recovery process, is now in remission, and at the 25-month follow-up examination, the patient was almost symptom free. (J Am Podiatr Med Assoc 99(4): 359–363, 2009)