Lisfranc fracture

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Fracture and dislocation of the joints in the midfoot.

Lisfranc, a surgeon in Napoleon's army, described. Occured when horseman fell while riding, having trapped his foot in the stirrup or fell into a drain. Currently, when one steps into a hole and the foot twists heavily.

Treatment options include operative or non-operative treatment. If the dislocation is less than 2mm, the fracture can be managed with plaster of Paris or dynacast for 6 weeks. For operative treatment, percutaneous screws +/- k-wire will be used for internal fixation of the fracture.

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