Akademik Veri Yönetim Sistemi
SN Comprehensive Clinical Medicine, cilt.7, sa.1, 2025 (Scopus)
Lisfranc injury is a tarsometatarsal fracture-dislocation characterized by rupture and traumatic disruption of the Lisfranc ligament between the medial cuneiform and the plantar aspect of the second metatarsal base. The articular surface between the bases of the other metatarsals and the tarsal bones is usually disrupted. Lisfranc injuries are very infrequent, accounting for only 0.2% of all injuries. Bilateral Lisfranc injuries are even rarer and there are very few case reports on this subject. In this case report, we present the story of a 29-year-old man who sustained bilateral Lisfranc injuries after a fall from a height. The injury was diagnosed using a combination of clinical examination, X-ray and CT. Closed reduction and fixation was achieved for the right side and open reduction internal fixation (ORIF) for the left side, stability was achieved by surgical correction of tarsometatarsal and intertarsal joint subluxations, and the patient was followed up for 1 year. Hypoesthesia was observed on the dorsal surface of the left foot after surgery and followed up. We showed the results of primary arthrodesis for the left foot. We showed fixation with closed reduction for the right foot. The debate between primary arthrodesis and internal fixation in Lisfranc injuries continues and is unclear. We presented the 1-year postoperative follow-up of our patient, and the diagnosis of patients with Lisfranc injury is difficult and should definitely be among the differential diagnoses in the emergency department.