Broken Midfoot & Lisfranc Fracture: what are the treatment options?

A fracture or break to the midfoot, also know as a Lisfranc fracture, is a significant injury often resulting in an extended recovery time.

 

It is important that midfoot fractures are immediately diagnosed and properly treated to receive the best outcome possible. Early treatment can greatly increase your chances of avoiding surgery or permanent damage to your foot.

 

University Foot and Ankle Institute's physicians use the latest diagnostic and treatment technologies. Our doctors are trained trauma specialists with decades of experience and have the highest success rates in the country.

Symptoms of a Midfoot Fracture (Lisfrancs Fracture Dislocation)

Some patients report hearing a popping or cracking sound at the time of the break. Other symptom of a Lisfranc fracture can include pain, bruising and swelling to the middle portion of the foot.

Your toe may look mal-aligned or crooked as a result of the break. While some patients are unable to bear weight on the injured foot, we often see some walking in the office with a fractured foot.

 

Sprains and fractures of the midfoot present similar symptoms. However, with a fracture you can often pinpoint the area of tenderness or pain, whereas the achiness related to a sprain a affects a wider area of the foot.

 

 

What causes a Lisfranc Fracture

Lisfranc injuires are often the result of excessive force to the midfoot or a forceful movement when part of the foot is stabilized. An example would be an injury to the foot while horseback riding, with the front part of the foot locked-in to the stirrup.

Other midfoot fracture causes are related to traffic collisions, a fall from a significant height or a heavy object falling onto the foot.

Lisfranc fractures are often missed on initial x-rays; therefore, they are one of the most commonly misdiagnosed injuries we see in our Southern California offices.

 

 

Treatment options for a Midfoot Lisfanc Fracture

Proper treatment of Lisfranc injuries are critical. Complications of an untreated midfoot fracture include:

  • Permanent mal-alignment of the bone resulting in limited ability to walk on the foot or fit into shoes
  • Arthritis, when the break is in the region of a joint
  • Chronic foot pain
  • Long-term difficulty walking

 

If your Lisfranc midfoot fracture has not forced the injured bones out of position, your doctor will cast the area and have you refrain from bearing weight for about six weeks. After the cast is removed, you may have to wear a rigid arch support. Foot exercises will help to build strength and restore full range of motion.

 

Surgery for a Lisfranc fracture

Surgery is often required to stabilize the bones until healing is complete. Post surgery, you will have to wear a cast and limit weight-bearing for as long as eight weeks. You may wear a walking brace while transitioning to a normal shoe.

  • Yelp
    Really cares about his patients. Takes his time to find the problem, not a factory trying to get you in and out. So glad we found him.
    Mike M.
  • CustomerSure
    I appreciated that Dr. Yau called me back quickly after I left a message and he then made time to see me that day.
    Virginia B.
  • Yelp
    Quick, painless, fantastic service.
    Mike G.
  • Yelp
    I had my first experience with this office earlier this week. Dr. Franson spent ample time with me, and was very attentive to my concerns and questions. I especially appreciated his relaxed, but thorough, way of deali...
    Chuck S.
  • Yelp
    Hi again and I just wanted to thank the Doctors at the University Foot and Ankle Institute. I suffered a very severe tear of my ankle around 8 months ago whilst playing with my kids and was getting frustrated with the...
    Russell W.
  • Facebook
    Dr. Baravarian got me back running when no other Dr. could. I can't thank him enough! Everyone in the office is so nice, I highly recommend them!
    Christie D.
  • ZocDoc
    Professional, to the point, pleasant. Very happy with the service and the ability to schedule via ZocDoc.
    Deborah F.
  • Facebook
    Dr. Baravarian got me back running when no other Dr. could. I can't thank him enough! Everyone in the office is so nice, I highly recommend them!
    Christie D.
  • CustomerSure
    Great staff who put up with my questions and bad jokes. Hope I will not have to return, but if I do have foot problems again, I will go back to these folks.
    Eric F.
  • Google+
    I had been dealing with heel pain for far too long and went to seek treatment from University Foot and Ankle. Within three weeks my pain decreased for the first time in four years. No drugs, no surgery and no BS from ...
    Greg A.
Same day appointments now available!
or call us:
  • University Foot & Ankle, a Preferred Provider to:
  • UCLA Health System - UCLA Medical Group
  • MPTF - Member Industry Health Network
  • Cirque du Soleil
  • ATP - Association of Tennis Professionals
  • And consulting physicians for:
  • C&S - Cedars-Sinai
  • Saint John's Health Center