What is included in the long-term monitoring of patients with Lisfranc fracture dislocation?

Updated: Apr 20, 2020
  • Author: Nirmal Tejwani, MD, MPA; Chief Editor: Thomas M DeBerardino, MD  more...
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Answer

Follow-up is continued on a monthly basis until full weightbearing is achieved.

After 3-6 months, remove fixation screws across the TMT joints. Allow weightbearing as tolerated in a supportive shoe with accommodative insole and carbon shank.

The issue of how long screws should remain is controversial, as is the question of whether weightbearing should be permitted before screws are removed. Physicians agree that screws across viable joints should be left in no longer than 6 months from the time of surgery. Some advocate that no weightbearing be allowed until the screws are removed, at 3 months after surgery.


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