DOI: 10.36347/sjams.2018.v06i05.061

Pages: 2189-2194

These traumas are rare. It represents 0.2% of all fractures. Besides early diagnosis, an anatomical and stable reduction is paramount for obtaining a favorable outcome. It is a retrospective study of a series of 20 cases of fractures-dislocation of LISFRANC over a period of 5 years ranging from 2010 to 2017, collected in the orthopedic trauma department of Avicenna Hospital in Rabat. 2 cases benefited from orthopedic treatment: reduction by external maneuver under rachi anesthesia, followed by a plastered boot for a period of 6 weeks. 1 case benefited from a percutaneous Kirschner wiring after reduction of dislocation by external maneuver under rachi anesthesia.17 cases: were surgically treated: open reduction followed by fixation with Kirschner wires. After a decline of 18 months, we judged: Good results: 6 cases, ie 30%, Bad: in 14 cases, ie 70% (including 10% secondary to insufficient orthopedic treatment and 60% to surgical treatment). In our series 4 patients had septic complications, 2 cases of malunion, no cases of nonunion or bone necrosis. Based on the literature and the functional results of our patients who benefited from fixation by Kirschner wires, the open approach and fixation with screws (and plaques) of acute Lisfranc injuries, enable more precise reduction and superior stability with less secondary displacement.