Tuesday, 14 May 2013

Non-operative Management

Cases treated non-operatively.

These are patients who opted not to proceed with surgery.

As you can see all had x-ray findings consistent with a lisfranc injury.  They were allowed to be weight bearing as tolerated in a cast boot and transitioned to a hard sole shoe / hiking boot as pain and swelling decreased.  The average time was between 6 to 12 weeks.

Some patients had no pain after the injury had healed, others had minimal pain and decided that surgery + the associated recovery time was not in their best interest.

Case 1:


Case 2:


Case 3:


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Case 9:


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Case 11:


Case 12:


Case 12 - patient had evident lisfranc injury on right side.  Patient was transitioned from a cast boot to a hard soled shoe.  At 9 weeks patient no longer had pain and was able to perform a single heel raise.  As such we opted not to proceed with a lisfranc fusion procedure.

Case 13:


Case 14:


Case 15:


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Case 18:


Case 19:

Foot after closed reduction.


Case 20:

Initial injury x-ray and repeat x-rays 1 month after closed reduction.


7 months post-injury - patient continues to have minimal pain and discomfort - he has returned to work and regular activities.


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