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General LisFranc Question

Discussion in 'Ask your questions here' started by Unregistered, Mar 9, 2010.

  1. Unregistered

    Unregistered Guest


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    What are the risks/benefits on foregoing fixation surgery to the 1st and 2nd metatarsals for a Lisfranc injury that has no fracture, ligament tear/rupture and slight diastasis with possible shifting.

    Any evidence (success) of allowing this injury to heal "naturally" ?
    What are the short term and long term drawbacks ?

    Thanks in advance.
     
    Last edited: Mar 9, 2010
  2. FootDoc

    FootDoc New Member

    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.
    ***************************************************
    Screw fixation is employed in non-fracture Lisfranc injuries to generally temporarily immobilize the joint once the diastesis and/or dislocation has been reduced in order to facilitate healing of the torn ligaments of the joint. If one's doctor feels that is most appropriate but he/she prefers to do it caveman/woman style, that's up to the individual. The short and long term potential drawbacks are that the best healing might not take place possibly resulting in diminished function.
     
    Last edited: Mar 9, 2010
  3. Unregistered

    Unregistered Guest


    Thanks for the reply. In your opinion should one be dealing with a M.D. or a DPM ? Is there a difference in skill or expertise ?

    Thanks again.
     
  4. FootDoc

    FootDoc New Member

    There are certainly differences ln both skill and expertise among doctors, but those differences lie with the individual doctor and not his/her degree. Do serious substantive research before choosing a doctor.
     
    Last edited: Mar 10, 2010
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