To fuse or not to fuse the Lis Franc Joint? The rationale

Introduction: The term “Lisfranc injury” commonly describes injuries which occur at the bases of five metatarsals, their articulations with distal four tarsal bones, and Lisfranc ligament. injury is rare accounts for 0.2% all fractures up to 20% being missed in acute setting. treatment these has been subject much debate over years. Primary arthrodesis increased as a option recent literature. Case Report: A 25-year-old female Type 1 diabetes mellitus presented two-week history swollen right foot after falling while descending flight stairs. Radiographic imaging revealed partial incongruity her Lis franc joint comminuted fracture second tarsometatarsal joint. She underwent primary Franc no functional impairment or midfoot deformity progression one year follow up.Conclusion: This construct shown better withstand abnormal biomechanical forces are placed on during ambulation patients peripheral neuropathy such diabetics. case highlights benefits this modality young, diabetic patient.