Two-stage treatment for old dislocation fractures in the Lisfranc and Chopart joints

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Abstract

Two-stage treatment of old dislocation fractures in the Lisfranc and Chopart joints is dealt with. At the first stage, a compression-distraction apparatus is applied to eliminate rough dislocations of the anterior, middle, and posterior parts of the foot, at the second stage, a partial arthrodesis is made along the line of the Lisfranc and Chopart joints instead of various wedge resections. A classification of the abnormality in question by the injury duration is proposed, which allows one to choose its management. Good and satisfactory late results were achieved in 96% of patients.

About the authors

D. I. Cherkes-Zade

Priorov Central Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Moscow

A. V. Do

Priorov Central Institute of Traumatology and Orthopedics

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

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2. Fig. 1. Preoperative radiographs of patient P. in the direct and lateral projections. A long-standing divergent fracture in the Lisfranc joint is seen.

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3. Fig. 2. In the Ilizarov apparatus after the first stage of treatment.

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4. Fig. 3. After the second stage of treatment. Metal spokes can be seen transarticularly through the forefoot and midfoot.

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5. Fig. 4. One year after surgery.

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