Finished Product

AR-8951ML

Foot and Ankle

Product

The new Lisfranc Plates were designed to provide fixation for acute Lisfranc injuries and fusions of the tarsal-metatarsal joints. The unique design allows for compression along the Lisfranc ligament and visualization of the healing process during recovery. At 1.4 mm maximum thickness, the plates provide minimal prominence and low profile contouring. These plates are available in three different sizes with both left and right options.
<ul>
 <li>Eliminates the joint damage that may occur with the use of screws and guide wires while allowing visualization of the Lisfranc joint</li>
 <li>Bridge-plating preserves the joint surfaces and results in larger surface area for bony fusion</li>
 <li>Contoured to fit the first and second metatarsal cuneiform joints and compresses along the Lisfanc ligament</li>
 <li>Allows room for normal interfragmentary screw placement</li>
</ul>

Lisfranc Plates

Child (D)

The Arthrex CFS plating system combines many of our current midfoot, forefoot, and hindfoot plate and screw systems into one set (AR-8950S). The set is conveniently divided into 2.4/3.0 mm and 3.5/4.0 mm (AR-8950S-01 and AR-8950S-02) modules that house the new Metatarsal Plates, TMT Plates, x-Plates, and newly revised H-Plates. Also included in the set are the Lapidus, Lisfranc, Opening Wedge, and MTP Plates. Screws are provided in locking and nonlocking options for 2.4 mm, 3 mm, 3.5 mm, and 4 mm sizes along with 3 mm and 4 mm cannulated screws. Presenting all of these components in one set gives surgeons the flexibility to choose the ideal plating system for any need. In addition, the new Mini Joint Distractor offers greater flexibility for joint preparation, visualization, and intraoperative compression of the fracture or fusion site.

Comprehensive Fixation System

Procedure

Post-traumatic arthritis is a common complication following Lisfranc injury. When conservative measures fail, patients may benefit from selective arthrodesis of symptomatic joints. Arthrex provides surgeons with low-profile plates, Nitinol staples, headless compression screws, and biologic augmentation to facilitate a successful fusion.

Lisfranc Arthrodesis

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 &nbsp;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.

Lisfranc Injury Fixation

QuickFix Cannulated Screw System Instrument Set

Lisfranc Plate, Medium, Left, Titanium

AR-8951ML

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