Brutscher R
Klinik für Unfall- und Wiederherstellungschirurgie, Zentralklinikum Augsburg.
Orthopade. 1991 Mar;20(1):67-75.
Fractures of the mid- and forefoot, as well as luxations of the Chopart and Lisfranc joints, have in the past often been treated conservatively if not with therapeutic nihilism. In light of the modern operative techniques and claims regarding anatomic and functional restitution, this management from should be reconsidered. Shortening and malposition can be corrected by internal fixation and joint surfaces are being reconstructed, thus restoring the load-bearing capacity of the plantar arch. Post-traumatic impairment can be completely or at least partially avoided by early specific measures. The present study describes fractures and luxations of the fore-foot distal to Chopart joint and the present state of treatment, including complications and risks arising from the treatment of these injuries.