Comparison Between Standard Screw and Internal Brace in Treatment of Subtle Lisfranc Injury

Background: Subtle Lisfranc injuries are low-energy, purely ligamentous lesions increasingly recognized in active patients; although screw fixation is common, Internal Brace (IB) flexible fixation is an alternative. Methods: In this multicenter retrospective study (2014-2021), 65 patients with subtle ligamentous Lisfranc injury (C1-M2 diastasis Results: Demographics and injury mechanisms were similar. Both groups improved from preoperative status to final follow-up (p p Conclusions: In this Level III study, IB fixation was associated with better 6-month clinical outcomes with similar final radiographic stability and fewer hardware-related complications versus SS.