What Is A Lisfranc (Midfoot) Injury?

The midfoot consists of a cluster of small bones that form an arch on the top of the foot. The midfoot will be affected when bones are broken or ligaments are torn, and may result in a simple injury or a very complex injury that affects multiple joints. Lisfranc injuries damage the cartilage of the midfoot, and if the injury is not properly treated both flatfoot and arthritis may result.

How Does A Lisfranc Injury Occur And What Are The Symptoms?

The injury is very common, and can occur from something as simple as twisting your foot, to more acute injuries from a fall or motorcycle accident .

The most common symptoms of a Lisfranc injury include: 1) swelling and pain on the top of the foot; 2) bruising on the bottom of the foot; and 3) pain that gets worse with standing or walking.

What Are My Treatment Options For A Lisfranc Injury?

The type of treatment that our clients receive depends on the severity of the injury, and the individual. Despite the possibility of nonsurgical treatments, keep in mind that most of these injuries require surgery.

  • If our clients are not suffering from a fracture or dislocation in the joint, then nonsurgical treatment may be all that is necessary. These nonsurgical treatments may include wearing a non-weight-bearing cast for six weeks before moving onto a removable boot. During your treatment you must remember to strictly adhere to your doctor's instructions. You will have regularly scheduled visits with your doctor where additional x-rays will be taken to make sure the foot is healing. If any of the bones have moved, then surgery will be needed to put the bones back in place.
  • If our clients are suffering from a fracture in the joints of the midfoot, or if joints are abnormally positioned, surgery will be recommended. The two surgical procedures routinely performed to correct a Lisfranc injury are: 1) internal fixation; and 2) fusion. During internal fixation bones are positioned and held in place with plates and screws. The plates and screws may be removed three to five months after surgery, but that is at your doctor's discretion.
  • If the injury is severe and the damage cannot be repaired using internal fixation then a fusion may be performed. During a fusion the damaged bones are fused together so that they heal into a solid piece. Because the joints will not move after they heal the hardware used for the fusion will not need to be removed.

Regardless of your treatment options, you will need to keep weight off of the affected foot for at least six to eight weeks. You will then be transitioned to weight bearing if your x-rays look okay after six to eight weeks. Eventually, you will be cleared to walk, but high impact activities like jogging should be avoided until expressly permitted by your surgeon.

Call Our Office To Learn Your Options

Contact Attorney Douglas V. Stoehr if you have suffered a Lisfranc injury related to a motorcycle or car accident or a slip and fall. To schedule a free consultation, contact our west-central Pennsylvania law firm by calling (814) 946-4100 or email us.