Two-stage treatment for old dislocation fractures in the Lisfranc and Chopart joints

Abstract

Two-stage treatment of old dislocation fractures in the Lisfranc and Chopart joints is dealt with. At the first stage, a compression-distraction apparatus is applied to eliminate rough dislocations of the anterior, middle, and posterior parts of the foot, at the second stage, a partial arthrodesis is made along the line of the Lisfranc and Chopart joints instead of various wedge resections. A classification of the abnormality in question by the injury duration is proposed, which allows one to choose its management. Good and satisfactory late results were achieved in 96% of patients.