Lisfranc Injury Fixation

Low energy, purely ligamentous injuries of the Lisfranc joint are difficult to detect and require a high index of suspicion due to their subtle presentation, particularly in athletes. Weightbearing radiographs, in combination with CT and MRI, may be required for proper diagnosis. Any diastasis greater than 2 mm is considered a positive for Lisfranc injury.

Traditional fixation methods using screws and/or plates provide a stable construct for the Lisfranc injury but may overconstrain the joint, resulting in the patient's inability to return to preinjury activity levels. Additionally, rigid fixation often requires a secondary surgery for hardware removal prior to full weightbearing and has the added risk of reduction loss.

Flexible fixation devices such as the 2.7 mm Knotless Mini TightRope® implant and Lisfranc Fixation System for InternalBrace™ repair overcome the shortcomings of rigid fixation and provide a strong1,2 and reproducible construct to stabilize the Lisfranc joint.

References

1. Arthrex, Inc. Data on file (APT-05278). Naples, FL; 2021.

2. Arthrex, Inc. Data on file (APT-05279). Naples, FL; 2021.

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Low energy, purely ligamentous injuries of the Lisfranc joint are difficult to detect and require a high index of suspicion due to their subtle presentation, particularly in athletes. Weightbearing radiographs, in combination with CT and MRI, may be required for proper diagnosis. Any diastasis greater than 2 mm is considered a positive for Lisfranc injury.

Traditional fixation methods using screws and/or plates provide a stable construct for the Lisfranc injury but may overconstrain the joint, resulting in the patient's inability to return to preinjury activity levels. Additionally, rigid fixation often requires a secondary surgery for hardware removal prior to full weightbearing and has the added risk of reduction loss.

Flexible fixation devices such as the 2.7 mm Knotless Mini TightRope® implant and Lisfranc Fixation System for InternalBrace™ repair overcome the shortcomings of rigid fixation and provide a strong1,2 and reproducible construct to stabilize the Lisfranc joint.

References

1. Arthrex, Inc. Data on file (APT-05278). Naples, FL; 2021.

2. Arthrex, Inc. Data on file (APT-05279). Naples, FL; 2021.

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Educational Resources and Products

Lisfranc Fixation System for InternalBrace™ Repair

Lisfranc Fixation System for InternalBrace™ Repair

Surgical Technique Guides | English | 02/16/2024 | LT1-00105-EN D
Lisfranc Reduction for Injuries and Fusions using Lisfranc Plates

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
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
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
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 (4)

Flexible Fixation Solutions for Treating Lisfranc Injuries
Flexible Fixation Solutions for Treating Lisfranc Injuries
Christopher D. Kreulen, MD, MS
12:31 | English | 10/19/2023 | VID1-003965-en-US B
Knotless Mini TightRope® Fixation for Lisfranc Injuries
Knotless Mini TightRope® Fixation for Lisfranc Injuries
Carl Hasselman, MD
04:30 | English | 11/09/2022 | VID1-003460-en-US A
Lisfranc Injury Repair With the InternalBrace™ Ligament Augmentation Procedure
Lisfranc Injury Repair With the InternalBrace™ Ligament Augmentation Procedure
Kirk A. McCullough, MD
04:07 | English | 11/24/2021 | VID1-000030-en-US C
Lisfranc ORIF Using Dorsal Lisfranc Fracture Plate
Lisfranc ORIF Using Dorsal Lisfranc Fracture Plate
Eric Giza, MD
04:37 | English | 04/27/2016 | VPT1-00639-EN A

Surgical Technique Animations (1)

CFS Lisfranc Ligament Repair
CFS Lisfranc Ligament Repair
02:18 | English | 05/29/2014 | AN1-00036-EN A

Surgical Technique Guides (6)


510(k)s (2)

510K Mini TightRope
510K Mini TightRope
English | 12/28/2022 | K090107 A
510K Arthrex Knotless Mini TightRopes
510K Arthrex Knotless Mini TightRopes
English | 03/16/2022 | K213644 A

Brochures (1)

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

Case Presentation Videos (3)

Knotless Mini TightRope® System: Clinical Lessons and the Evolution in Technology
Knotless Mini TightRope® System: Clinical Lessons and the Evolution in Technology
Carl Hasselman, MD
16:54 | English | 11/16/2023 | VID1-003832-en-US B
Case Review of the Knotless Mini TightRope® Anchor in Foot and Ankle Applications
Case Review of the Knotless Mini TightRope® Anchor in Foot and Ankle Applications
Andrew J. Rosenbaum, MD
07:03 | English | 11/14/2023 | VID1-003833-en-US B
Bridge Plate Fixation of Lisfranc Injuries
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 2023
Trauma Next Generation in Repair and Reconstruction 2023
English | 03/09/2023 | LB1-000242-en-US E

Presentation Videos (1)

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