The results of treatment of Lisfranc injuries are often unsatisfactory. This retrospective study investigated 46 patients with isolated Lisfranc injuries a minimum of 2 years following surgery. 13 patients had a poor outcome and had to change employment or were totally unable to find work purely as a result of this injury. The presence of a compensation claim (p=0.02) and a delay in diagnosis of more than 6 months were associated with a poor outcome (p=0.01). There was no association between poor functional outcome and age, gender, mechanism of injury or previous occupation. This study may have medico-legal implications on reporting prognosis for such injuries and highlights the importance of prompt diagnosis and treatment for such injuries.
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Robinson et al. (2004) studied this question.