injuries poisoning
Fracture Dislocation of the Midfoot (Lisfranc Injury)
Treatment of Lisfranc Injury
Urgent orthopedic consultation Usually, open reduction with internal fixation (ORIF) or sometimes fusion of the midfoot Dislocations often spontaneously reduce. Nonetheless, because these injuries usually compromise foot function and cause residual pain and arthritis, patients should be immediately referred to an orthopedic specialist, usually for surgery. Typically, definitive treatment is ORIF or fusion of the midfoot. After ORIF, CT is usually done to confirm correct alignment. If surgery is not considered necessary, patients are immobilized, ultimately with a cast, with no weight-bearing for ≥ 6 weeks. 