Lisfranc injury

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THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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It is quite unwise to speak to specific situations in medicine when the responder is not privy to the details of the case, and is certainly far less knowledgeable about those details than the attending doctor. This is particularly the case with traumatic injuries and the treatment thereof, as each injury often presents particular challenges which may necessitate decisions which deviate from the norm. So my response will be general in nature, and should not be taken as necessarily pertaining to your specific situation.

Lisfranc injuries are a class of traumatically induced events involving the Lisfranc joint of the foot. amd covers both a variety of injuries and degree of injury. When surgery is employed, various types of fixation are utilized, depending upon the precise nature of the injury, the repair necessary and the likes, dislikes, experience and training of the doctor. Again, depending of the situation and what sort of surgery is performed, if screws are used for fixation, they are often removed within weeks to several months of the procedure. Unlike in most bone surgeries where screw fixation is employed and the screws are generally left in place permanently unless complications relating to the screws develop, because most Lisfranc procedures do not totally negate joint motion in the area of surgery, the screws are often remove so as to avoid hardware failure due to such ongoing joint motion. When screws are removed either for that purpose or because of complications, unless the screw has broken, it is generally a relatively simple procedure without undue risk other than that attendant to any invasive surgical procedure. Providing there has been uncompromised bone healing, removal of the screws should have no effect relating to refracturing of the bone.

I don't know what the standard of care is in Sweden regarding removal or non-removal of screws in Lisfrac cases, but a decision either way should be left in the hands of the attending surgeon, or, alternatively, another surgeon who can make recommendations based on a review of the case and a physical examination.