The article provides current data on the applied anatomy of the Lisfranc joint, mechanisms of injury, classification, diagnostics and treatment. Lisfranc joint injuries are relatively rare – just 0,2 % of all fractures. They include wide spectrum of injuries: from ligament tears to complex fracture-dislocations with severe concomitant soft-tissue injuries. Up to one third of injuries are missed during initial examination. When properly not diagnosed and not treated early these injuries may lead to severe disability. Initial radiological diagnostics shall include three standard projections: AP, lateral and AP with foot pronation. CT (especially 3D-reconstructions) play important role in the pre-operative planning, and in the diagnostics of the injuries with only mild displacements. During initial treatment it is important to reduce grobe displacements of the forefoot, which may lead to compartmentsyndrome or disorders of the blood supply of the distal part of foot. Closed reduction and wire fixation is appropriate only as initial emergent treatment. The mainstay of the definitive fixation is the open reduction and solid fixation (with screws and/or plates) which enables the restoration of the middle foot stability.
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