Lisfranc Injury Fixation

The Lisfranc InternalBrace™ ligament augmentation implant system is a novel technique used to repair Lisfranc ligament injuries. The InternalBrace technique uses a 1.6 mm guidewire through the Lisfranc articulation for less joint disruption. An oblong button is placed on the 2nd metatarsal with collagen-coated 2 mm FiberTape® suture passing through the intraosseous Lisfranc complex and is secured with a 4.75 mm Knotless SwiveLock® anchor in the medial cuneiform.

The Mini TightRope® construct also provides an alternative to screw fixation. The advantages include: 1) the absence of protruding hardware, 2) a second procedure is not required for device removal, and 3) far less joint disruption than caused by screw fixation. For more complex fractures, this technique can easily be combined with other fixation techniques.

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The Lisfranc InternalBrace™ ligament augmentation implant system is a novel technique used to repair Lisfranc ligament injuries. The InternalBrace technique uses a 1.6 mm guidewire through the Lisfranc articulation for less joint disruption. An oblong button is placed on the 2nd metatarsal with collagen-coated 2 mm FiberTape® suture passing through the intraosseous Lisfranc complex and is secured with a 4.75 mm Knotless SwiveLock® anchor in the medial cuneiform.

The Mini TightRope® construct also provides an alternative to screw fixation. The advantages include: 1) the absence of protruding hardware, 2) a second procedure is not required for device removal, and 3) far less joint disruption than caused by screw fixation. For more complex fractures, this technique can easily be combined with other fixation techniques.

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Educational Resources and Products

Lisfranc Fixation System for InternalBrace™ Repair

Surgical Technique Guides | English | 05/05/2022 | LT1-00105-EN C

Lisfranc TightRope® Fixation Surgical Technique

Surgical Technique Guides | English | 10/04/2013 | LT1-0423-EN B
Lisfranc Reduction for Injuries and Fusions using Lisfranc Plates
Surgical Technique Guides | English | 03/24/2015 | LT1-0434-EN B
Lisfranc Injury Repair With the InternalBrace™ Ligament Augmentation Procedure
Kirk A. McCullough, MD
Surgical Technique Videos | 04:07 | English | 11/24/2021 | VID1-000030-en-US C
Lisfranc ORIF Using Dorsal Lisfranc Fracture Plate
Eric Giza, MD
Surgical Technique Videos | 04:37 | English | 04/27/2016 | VPT1-00639-EN A
Lisfranc Fracture Dislocations: Approaches for Stability
Thomas G. Harris, MD
Presentation Videos | 05:42 | English | 01/04/2018 | VID1-01197-EN A
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Surgical Technique Videos (3)

Lisfranc Injury Repair With the InternalBrace™ Ligament Augmentation Procedure
Kirk A. McCullough, MD
04:07 | English | 11/24/2021 | VID1-000030-en-US C
Arthroscopic MTP Fusion Using Compression FT Screws
Alastair Younger, MD
14:34 | English | 01/11/2017 | VID1-00818-EN B
Lisfranc ORIF Using Dorsal Lisfranc Fracture Plate
Eric Giza, MD
04:37 | English | 04/27/2016 | VPT1-00639-EN A

Surgical Technique Animations (2)

CFS Lisfranc Ligament Repair
02:18 | English | 05/29/2014 | AN1-00036-EN A
Comprehensive Foot System
02:49 | English | 08/27/2013 | AN1-0437-EN A

Surgical Technique Guides (7)

510Ks (1)

510K Arthrex Knotless Mini TightRopes
English | 03/16/2022 | K213644 A

Brochures (1)

Comprehensive Foot System
English | 11/30/2018 | LB1-0437-EN D

Case Presentation Videos (1)

Bridge Plate Fixation of Lisfranc Injuries
Joshua Metzl, MD
02:12 | English | 01/10/2017 | VID1-00815-EN B

Catalogs (1)

Trauma Next Generation in Repair and Reconstruction 2022
English | 02/10/2022 | LB1-000242-en-US D

Presentation Videos (1)

Lisfranc Fracture Dislocations: Approaches for Stability
Thomas G. Harris, MD
05:42 | English | 01/04/2018 | VID1-01197-EN A

Product Demonstrations (1)

Plantar Lapidus Plate Product Demonstration
02:04 | English | 11/12/2019 | AN1-00387-EN A

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