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Lisfranc Fracture

A Lisfranc (midfoot) injury is when bones in the midfoot are broken, or the ligaments supporting the midfoot are torn. In some cases, a Lisfranc injury can be mistaken for an ankle sprain. The midfoot stabilises the foot, supporting the arch and transferring energy from the calf muscles to the front of the foot as we walk. Damage to this area can lead to flat foot and arthritis.

What causes a Lisfranc injury?

Injuries are normally caused by a twisting fall which can break or shift the bones out of place and damage surrounding cartilage. It’s more common in football players, and often happens if a player trips over the top of a foot that’s flexed downwards. Injuries can also be caused by a fall from height, which can also lead to joint fractures and dislocation.

What are the signs of a Lisfranc injury?

Signs include pain, swelling, bruising on the top and bottom of the foot and pain that is worse when you walk or stand.

How is a Lisfranc injury diagnosed?

During your first appointment, you’ll have an opportunity to discuss your symptoms with Mr Heidari, who will be able to advise you on the best course of treatment. He may also arrange X-rays, CT and MRI scans in order to assess the damage.

What does treatment involve?

Surgery is normally recommended for a Lisfranc fracture. Depending on the severity of the injury, bones may need to be realigned and fixed into place. After surgery, you will need to keep weight off the foot completely for up to eight weeks in a cast or boot, followed by a programme of exercises with one of our physiotherapists.

This information is written as a guide to your treatment but it is not intended to replace the advice of your doctor. Please contact us for advice if you are worried about any aspect of your health or recovery.