Arthrodesis Versus Extra-articular Plate Fixation in Lisfranc Injury

Arthrodesis Versus Extra-articular Bridge Plating of the First Tarsometatarsal Joint After Acute Lisfranc Injury

The purpose of this study is to compare arthrodesis of the first TMT-joint to extraarticular bridge plate fixation of the same joint in acute Lisfranc injuries.

We want to compare arthrodesis of TMT 1 to temporary bridge plating of TMT 1 in acute Lisfranc injuries where at least tarsometatarsal joints 1-3 are involved.

We preform arthrodesis of TMT 2 and 3 in both groups.

Inclusion Criteria:

• Lisfranc injuries with instability off TMT1, and fracture/instability of TMT 2 and 3. No major fracture in relation to TMT1.
• Age 18-65

Exclusion Criteria:

• Feet with other major foot/ankle injuries
• Previous foot infection or foot pathology on affected side
• Previous surgery to the TMT joints
• Sequelae after previous foot injuries
• Diabetes mellitus, neuropathy and peripheral vascular disease