A lisfranc injury is a potentially complicated and troublesome one to have. Did you do your weight-bearing X-rays and MRI yet? Did the doctor mention if it a soft tissue or bony Lis-Franc?
Treatment is definitely available here in Singapore. A thorough assessment and physical examination of the foot has to be done. To add on, it will be coupled with the necessary radiological investigations. The management can be conservative or surgical.
Conservative management would include [1]:
- medication,
- an off-load walker and
- surgery.
However, it can vary from open reduction internal fixation to even arthrodesis for the more severe cases. In most cases, surgery is not required if the lisfranc injury does not result in a broken bone, dislocation or torn ligament in the midfoot [2].
References:
1. Moracia-Ochagavía I, Rodríguez-Merchán EC. Lisfranc fracture-dislocations: current management. EFORT Open Reviews. 2019;4(7):430-444. doi:10.1302/2058-5241.4.180076
2. Lisfranc (Midfoot) Injury - OrthoInfo - AAOS. Aaos.org. Published 2017. Accessed December 20, 2019.
