Description
In this presentation, orthopedic consultant Sue Deakin, a foot and ankle specialist, discusses midfoot injuries, particularly focusing on Lisfranc injuries and the management strategies associated with them. She explores whether these injuries should be surgically fixed or treated through acute fusion, emphasizing the importance of stabilizing the tarsometatarsal joints to maintain foot function and reduce the risk of osteoarthritis. Deakin presents clinical examples of injury mechanisms and highlights the classical signs of Lisfranc injuries, such as plantar bruising and swelling.
She outlines the treatment aims, including restoring stability and preserving foot biomechanics, while addressing the controversies surrounding treatment methods, specifically the debate between bridge plating and screw fixation. Drawing on recent studies, she summarizes the evidence on outcomes associated with various fixation techniques, noting trends toward acute fusion in specific cases, particularly those with isolated ligamentous injuries. Deakin also addresses surgical techniques, sharing her preferred approaches to incisions and fixation to optimize visibility and stability during the procedure.
The presentation concludes with an invitation for audience engagement and feedback on evolving practices related to midfoot injury treatment.