Lisfranc Injuries in the Athlete

Lisfranc injuries entail traumatic disruption of any one of the ligamentous or bony components involved in tarsometatarsal joint complex stabilization. Without treatment, severe injuries resulting in tarsometatarsal joint instability are at increased risk for chronic functional disability and pain. In athletes, the literature has demonstrated evidence of improved outcomes (eg, return to play) following open reduction internal fixation for Lisfranc injuries. Of those surgically managed, variability exists among treatment methodology and outcomes. This article aims to provide an overview of Lisfranc joint complex injuries and the pearls and pitfalls associated with operative techniques to improve postoperative outcomes.