An Analysis of Outcomes in Lisfranc Injuries of the Foot Managed by Dorsal Bridge Plating vs Dorsal Plating with Primary Arthrodesis: Is there a Difference?

Case seriesarthritis, ultimately leading to chronic pain and functional impairment.Therefore, early recognition and anatomical restoration of the joint complex are essential for achieving favorable outcomes.Despite advances in surgical techniques, the optimal management strategy for Lisfranc injuries remains controversial, with post-traumatic arthritis reported in up to IntroductIonThe Lisfranc joint complex refers to the articulation between the metatarsals and the tarsal bones and includes the tarsometatarsal, intertarsal, and proximal intermetatarsal joints.This anatomically complex midfoot unit, stabilized by a strong ligamentous framework, plays a critical role in transmitting loads from the hindfoot to the forefoot during gait.Lisfranc injuries are relatively rare, accounting for approximately 0.2% of all fractures, with a reported incidence of nearly one case per 55,000 people. 1 The clinical presentation varies widely, ranging from subtle ligamentous disruptions following low-energy mechanisms to complex fracture-dislocations associated with high-energy trauma and soft-tissue compromise (Fig. 1).Due to the rarity of tarsometatarsal (TMT) injuries, their subtle presentation, and limited familiarity among medical professionals, up to 20% of these injuries can be initially overlooked. 2 Therefore, a high index of clinical suspicion should be maintained when evaluating patients with suspected midfoot injuries.Delayed or missed diagnosis may result in progressive midfoot instability, collapse of the longitudinal arch, and development of post-traumatic 1-3,5,