Department of Orthopedics and Traumatology, Escola Paulista de Medicina, Federal University of Sao Paulo, 715 Napoleao de Barros Street-1st Floor, Vila Clementino, São Paulo, São Paulo, SP 04038-002, Brazil.
University of Iowa, Carver College of Medicine, 200 Hawkins Drive, John PappaJohn Pavillion (JPP), Room 01066, Lower Level, Iowa City, IA 52242, USA.
Foot Ankle Clin. 2021 Mar;26(1):13-33. doi: 10.1016/j.fcl.2020.11.002. Epub 2020 Dec 25.
Much has changed since Lisfranc described lesions at the tarsometatarsal (TMT) joint in 1815. What was considered an osseous high-energy condition nowadays is understood as myriad possible presentations, occurring in minor and inconspicuous traumas. Advancements in diagnostics of Lisfranc injury allow recognizing many variants of this trauma presentation, most of them with a focus on ligaments. This perception shifted trends in surgical planning, especially for implants and fixation techniques. These revolutions established a new and evolving universe around TMT lesions, different from what was known only a few years ago and still not enough to completely settle the disease scenario.
自 1815 年 Lisfranc 描述了跗跖关节（TMT）的损伤以来，情况发生了很大变化。如今，人们认为这是一种高能量的骨骼损伤，但实际上可能有多种表现，而且这些损伤通常是由轻微和不明显的创伤引起的。Lisfranc 损伤诊断技术的进步使得人们能够识别出这种创伤的许多变体，其中大多数变体都集中在韧带损伤上。这种认识改变了 Lisfranc 损伤的手术治疗计划趋势，尤其是对植入物和固定技术的影响。这些变革在 TMT 损伤周围建立了一个新的、不断发展的领域，与几年前的认识大不相同，但仍不足以完全解决该疾病的全貌。
