Case Report: Lisfranc Fracture Variant Treated with Multiple Modalities of Fixation

Introduction: Lisfranc fractures are rare but serious injuries of the midfoot, with potential ‎long-term consequences such as chronic pain and deformity if not adequately treated. ‎This case report presents a Lisfranc fracture variant treated with multiple fixation ‎modalities, highlighting the effectiveness of combining open reduction and internal ‎fixation (ORIF) with plating, ORIF with cannulated screws (CC screws), and closed ‎reduction with internal fixation (CRIF) using K-wires. Case Presentation: Case 1: A 39-year-old female sustained high-energy trauma involving ‎the 1st–4th tarsometatarsal joints. She underwent ORIF with plating for the 1st TMT ‎joint, ORIF with CC screws for the 2nd and 3rd TMT joints, and CRIF with K-wire ‎fixation for the 4th TMT joint.‎ ‎Case 2: A 56-year-old female sustained a comminuted fracture of the medial cuneiform ‎with instability at the naviculo-cuneiform joint, requiring ORIF with plating and CC ‎screw fixation. Results: Both patients achieved excellent clinical and radiological outcomes, with Foot ‎and Ankle Outcome Scores (FAOS) of 96 and 92, respectively. Radiographs showed ‎proper alignment and stable union, with no hardware-related complications. Conclusion: This report illustrates the value of individualized, multimodal fixation in ‎Lisfranc fractures, enabling stable reduction, preservation of joint motion, and optimal ‎functional recovery.‎