CME OnDemand: 2022 Advanced Foot and Ankle: Challenging Conditions, Expert Teaching-Hindfoot and Midfoot Trauma: The Fix Is On - Lis Franc Injuries: Latest in Fixation Techniques

Hindfoot and Midfoot Trauma: The Fix Is On - Lis Franc Injuries: Latest in Fixation Techniques

Video Transcription

Video Summary

In this video, Dr. Kelly Hines from the University of Chicago Medicine presents a lecture on Lisfranc injuries and the latest fixation techniques. She highlights important concepts and physical examination points for diagnosing Lisfranc injuries, including the mechanism of injury and key physical exam findings. Dr. Hines discusses the various imaging modalities and the importance of proper diagnosis. She explains that Lisfranc injuries can range from low energy athletic injuries to complex high energy injuries with soft tissue compromise. Treatment principles include identifying the injury and instability, anatomic reduction, open reduction, and rigid fixation. The controversy of fixing versus fusing Lisfranc injuries is discussed, as well as various fixation techniques such as transarticular screws, dorsal bridge plating, K-wire fixation, and suture button fixation. Dr. Hines also covers the treatment of higher energy injuries and presents case examples. She emphasizes the importance of considering patient and injury factors when selecting the appropriate fixation technique and highlights that anatomic reduction is key in treating Lisfranc injuries.

Asset Subtitle

Kelly Hynes, MD, FRCSC

Keywords

Lisfranc injuries

fixation techniques

diagnosing Lisfranc injuries

imaging modalities

treatment principles