![]() The foot will be in a cast or a boot, and patients can use a scooter or crutches to keep weight off it. ![]() The initial recovery after Lisfranc surgery includes six weeks of no weight-bearing, followed by three months of protected weight-bearing. We make an incision in the top of the foot and place screws or plates to hold the joint complex in proper anatomical position so the bone and ligaments can heal. If there is any instability in the midfoot area – even 1-2 millimeters – the injury will likely require surgery to realign the bones. After eight weeks, we’ll X-ray the foot again and if the bones have not shifted, the patient will move to physical therapy and moderate weight-bearing exercises. Lisfranc injuries vary in severity, from strains, which can be treated by immobilizing the foot and keeping weight off it, to tears, fractures, or dislocations that require surgery to insert a screw or plate and restore stability to the foot.įor a mild strain, the patient will likely be asked to wear a boot for 6-8 weeks and use crutches to keep weight off the injured foot – allowing the ligaments time to heal. Today, military personnel continue to face the prospect of Lisfranc injuries (albeit not from falling off horseback), as do runners, windsurfers, and mountain bikers who ride over rugged terrain with their feet strapped to the pedals. Martin first identified the condition when cavalrymen in Napoleon’s army would get thrown from their horses but one of their feet would get caught and twisted in the stirrups. They can be caused by a high-energy trauma, such as a car accident or a heavy object falling on the foot, or even a missed step on the stairs. Of course, Lisfranc injuries don’t only affect athletes. In basketball and soccer, when the front portion of a player’s foot is extended and another player steps on the heel, a twist to escape could lead to Lisfranc ligament damage. Similarly, if a running back gets a cleat stuck in the ground, the twisting motion can cause a Lisfranc dislocation or tear. Offensive lineman, for example, are at risk for Lisfranc injuries because their feet are planted and their heels are off the ground while they block, making them susceptible to strains or tears as defensive players exert force on them. In sports like football and basketball, Lisfranc injuries usually occur when a player’s foot is flexed forward, gets stuck or stepped on, and twists in an unnatural position. The foot has a lot of moving parts, and many of them come together in the Lisfranc joint complex, where bones, tendons, and ligaments provide much-needed arch support, flexibility, and stability. Although Lisfranc injuries are significant and painful, with proper care and physical therapy our team can help get you back on your feet and playing the sport you love. Our foot and ankle specialists are experts in diagnosing and managing this complex condition in athletes and nonathletes alike. UT Southwestern’s Orthopaedic Surgery and Sports Medicine service treats multiple Lisfranc injuries per month. For elite athletes, Lisfranc injuries can be career-threatening. Left untreated or treated improperly, they can lead to chronic foot pain, altered gait, osteoarthritis, and long-term disability. ![]() every year, but too often they are misdiagnosed or dismissed as a simple sprain. Lisfranc injuries are rare, affecting about 1 in 55,000 people in the U.S. Named for the surgeon in Napoleon’s army who discovered the condition among many of its cavalry soldiers, Lisfranc injuries are usually caused by a severe twisting of the foot that creates a fracture, dislocation, or ligament strain/tear in the midfoot – the area where the bridges of your toes connect to the rest of your foot. Lisfranc injuries have sidelined several pro athletes for the 2022-2023 season, including Dallas Cowboys cornerback Jourdan Lewis and Carolina Panthers rookie quarterback Matt Corral in the NFL, and Oklahoma City Thunder center Chet Holmgren, who was the No. Recently, a less-well-known foot injury has joined the debilitating duo: Achilles tendon ruptures or tears, which involve the largest tendon in the body that connects the heel bone to the calf muscle at the back of the ankle, often requiring surgery and about a year to rehab and recover.Anterior cruciate ligament (ACL) tears, which affect the stability of the knee joint, usually requiring reconstructive surgery and about six months of rehab. ![]() In the world of high-impact sports, two injuries have become inexorably linked with the dreaded term “season-ending surgery:”
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