Journal of Orthopaedics, Trauma and Rehabilitation (Dec 2019)

Concomitant old complex fracture–dislocation of the first metatarsophalangeal, Lisfranc, and naviculocuneiform joints

  • Amir Reza Vosoughi,
  • Armin Akbarzadeh

DOI
https://doi.org/10.1177/2210491719860246
Journal volume & issue
Vol. 26

Abstract

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Old simultaneous complex fracture–dislocation of the first metatarsophalangeal (MTP), Lisfranc, and naviculocuneiform joints as an overwhelming injury has not been reported in the literature yet. In a 29-year-old man, 6 months following the trauma, the medial column of foot was reconstructed using iliac tricortical bone graft from navicular to the first metatarsal. Arthrodesis of the second and third tarsometatarsal joints and resection arthroplasty of the first MTP joint were done. His clinical and radiographic evaluation after 18 months revealed an acceptable function with returning to pre-injury job but with some limitations in recreational activities. Level of evidence: level 4