Ilizarov frame delayed internal fixation of Lisfranc fracture dislocation with severe soft tissue injury: New technique. Issue 9 (December 2015)

• Record Type: Journal Article
• Authors: Ahmed, N.; Kugan, R.
• Is Part Of: Trauma case reports. Volume 1: Issue 9/10/11/12(2015)
• Page Start: 88
• Page End: 94
• Publication Date: 2015-12
• Subjects: Lisfranc -- Ilizarov frame -- Crush injury; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2015.10.009
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: We describe a new technique of temporary stabilisation of a divergent Lisfranc fracture dislocation of foot with severe crush injury using an Ilizarov frame. A 69-year-old man presented with severe crush injury and complete disruption of the midfoot. Examination revealed full thickness skin necrosis, haemorrhagic blisters and extensive swelling. A staged technique was used with temporary application of an Ilizarov frame followed by delayed limited internal fixation. Excellent result was achieved with restoration of medial arch, complete pain relief and good functional outcome. A staged treatment initially using an Ilizarov frame prior to limited internal fixation allows soft tissue to settle in severe crush injury.