Osteoarthritis of the Lisfranc Joint

Christian KinastMunic Germany

Associated foot deformities with atraumatic Lisfranc osteoarthritis

pes planovalgus hallux valgus or skew foot deformities hallux valgus with pes planovalgus pes cavus in-situ without deformities

Foot Ankle Int 2007 28: 482Hong Geun Jung, Mark S. Myerson and Lew C. SchonSpectrum of Operative Treatments and Clinical Outcomes for Atraumatic Osteoarthritis of the Tarsometatarsal Joints

Secondary flatfoot due to short metatarsus and secondary Lisfranc osteoarthitis

ST. I

Lisfranc correction arthrodesis TKA

59 y fem playing badminton again

ST.I

Atraumatic Lisfranc osteoarthritiswith hypermobile metatarsus primus varus

MRI helps to visualise the extent of arthritic changes

Arthrex Mini Joint Distractor

• Distraction of the Lisfranc joint • Bonesaving preparation for the arthrodesis

Lapidus Plate; Quickfix Can. Screws 4.0, 3.0, 2.4 mm; Double-Compression Plate

bonegraftingfrom calcaneus

Double Compression Plate

Double Compression Plates

• Double compression due to - oblong hole- manual bending of middle portion

• 3.5 mm locking and non-locking screws• 2, 3 and 4 holes• 20, 25 und 30 mm lengths

Lisfranc Plates

• 3 locking holes, 1 compression hole• Compression along the lisfranc lig.• Allow visualization of lisfranc joint

during healing process • 3 Sizes: Small, Medium, Large

QuickFix Cannulated Screws + Lisfranc Plate

Hö.A

Lapidus Plate + Compression Staples

CT control

Ha.E

Flatfoot with peritalar subluxation and Lisfranc atraumatic subluxationCalcaneus StepPlate; H-Plate Plate (Evans); Headless Compression Screw

Lisfranc Arthrodesis Rehabilitation

2 weeks valved cast 4 - 6 weeks closed cast Week 7 – 10 increased weight baring CT scan week 10 - 12 ( difficult to read ) Week 11-12 full weight bearing

Conclusion

Identify the underlying deformity of the foot in atraumatic Lisfranc osteoarthritis

pes planovalgus with peritalar subluxation / Lisfranc subluxation hallux valgus or skew foot deformities hallux valgus with pes planovalgus pes cavus in-situ without deformities postraumatic osteoarthritis rheumatoid arthritis neuro-osteo-arthropathy

Arthrex Implants

Lapidus Plate Lisfranc Plate Arthrex Headless Compression Screws Quickfix Cannulated Screws 2.4, 3.0, 4.0mm Compression Staples Double Compression Plate Calcaneus StepPlate H-Plate (Evans)

Thank you for your attention.

Any questions?

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