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Little information on Lisfranc injuries

Discussion in 'Ask your questions here' started by raven24, May 26, 2009.

  1. raven24

    raven24 New Member


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    Hi Foot Dr

    Just after some information (the net seems to be full of useless info or info that just scares the hell outta me).

    About 8 weeks ago I had a fall during rugby training. I was doing tackle training and on the toes of my feet i fell sideways twisting my foot in the process. It hurt like hell, swelled up and I heard a popping noise.

    I went to the hospital and they said it was a mild sprain and I'd be fine after a couple of days. 3 weeks later I was still limping (though i came off the crutches after 3 days as they were annoying me. my foot hurt but i kept off it as much as i could). My consultant seemed to think I'd done ligament damage and said would take about 4-6 weeks longer to heal than originally thought.

    My last appointment was 3 weeks ago where upon seeing I was still limping and had progressed to dull aching pains coming and going he asked for new xrays. The next day I was called back to hospital to see an orthapedic surgeon as i had some widening of the bones in my foot based on the original xrays taken the night of the injury and the new set.
    I had a further set of injuries where they couldnt see any fractures but they're still not happy and are sending me for an MRI. They believe its a lisfranc rupture and said the likelihood of surgery was about 90%. Unfortunately they havent said what the surgery involves.

    I've been told for the ligament damage they could take a ligament from my calf and graft it into my foot. (or something similar). The other way was to suture the two ends of the ligament together.
    I can't seem to find anything like this operation online, only finding surgery that involves pins being placed into my foot.

    Naturally this is beginning to scare me a little and some helpful information on the procedures typically done to treat a lisfranc injury would be helpful.

    I know the MRI is to determine the full extent of the damage and what type of surgery I will be having. Is there a typical timeline for recovery as I really miss playing rugby. I missed a tournament and would really like to be in the next one which is next year.

    Much appreciated for any help you could offer here. :)

    Rob
     
  2. FootDoc

    FootDoc New Member

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    DISCLAIMER:
    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 not uncommon for the diagnosis of a Lisfranc injury to be initially missed. But, as no two trauma are identical, the treatment has to be individually tailored to the individual case. There is absolutely no reason why you cannot and should not have a long discussion with your doctor in which the intended procedure is detailed to your level of comprehension. As I point out over and over again, it is a big mistake to be obtaining most of the details from sources which are not aware of the specifics and nuances of your case and have no responsibility to you. Although I assume you live in the U.K. or at least outside of the U.S., I would have to think that the same basic principles of informed consent are adhered to there as well as here. Therefore, it is the legal duty of your doctor to inform you regarding the details of the procedure, its risks and side effects, the estimated prognosis, the aftercare requirements and the estimated healing time. It is YOUR duty to see that such information is given as many times as necessary until you can give your informed consent.
     
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