Lisfranc Fracture Treatment in NYC

Lisfranc fracture treatment at Healthy Feet Podiatry is determined by injury stability. Truly stable, purely ligamentous Lisfranc injuries without any diastasis on stress weight-bearing views a rare clinical entity can be managed non-operatively with non-weight-bearing cast immobilization for six to eight weeks, close imaging surveillance for instability, and a prolonged return-to-activity timeline. The vast majority of Lisfranc injuries with any evidence of instability, diastasis, or fracture-dislocation are treated surgically the evidence base for operative management of unstable Lisfranc injuries is clear and consistent: conservative management of unstable injuries produces unacceptably high rates of progressive midfoot collapse, post-traumatic arthritis, and functional limitation. Surgical options include ORIF with screws and plates to restore TMT joint alignment, and primary partial arthrodesis fusion of the medial and middle TMT columns for injuries with severe ligamentous disruption, which has produced superior long-term outcomes compared to hardware fixation alone in randomized trial evidence. Post-operative non-weight-bearing for eight to ten weeks, followed by progressive loading in a boot, with return to full activity at six to twelve months depending on injury severity and procedure type.