What is a Lisfranc / midfoot fracture?

A Lisfranc or midfoot fracture is an injury to the bones and/or ligaments in the middle part of the foot, often caused by twisting injuries or direct trauma.

What are symptoms of a Lisfranc injury?

Symptoms include midfoot pain, swelling, bruising, difficulty walking, and tenderness over the midfoot region.

How are Lisfranc fractures treated?

Treatment depends on severity and may include immobilization, bracing, physical therapy, or surgical fixation to restore alignment and stability.

When should I see a specialist for a midfoot fracture?

You should consult a foot and ankle specialist if you experience persistent pain, swelling, or difficulty bearing weight after midfoot trauma.

Lisfranc Midfoot Fractures Treatment Miami, FL

Lisfranc Fracture

A Lisfranc fracture involves the midfoot, specifically the tarsometatarsal joint, which connects the long bones of the foot (metatarsals) with the bones of the foot arch (tarsals). This complex joint stabilizes the midfoot and plays a critical role in walking and weight- bearing.

Lisfranc fractures typically occur from high-energy trauma, such as:

Falls from height
Motor vehicle accidents
Sports injuries involving twisting or crushing of the foot

Symptoms

Patients with a Lisfranc fracture often experience:

Severe midfoot pain
Inability to bear weight on the affected foot
Swelling and bruising on the top or bottom of the midfoot
Instability or a feeling of the foot "giving way"

Prompt diagnosis is important, as untreated injuries can lead to chronic pain, deformity, and arthritis.

Diagnosis

Dr. Alejandro Pino evaluates Lisfranc injuries through:

Physical examination: Inspection and gentle palpation of the midfoot
Imaging studies: X-rays, CT, or MRI to assess fracture patterns, ligament injury, and joint alignment

Early and accurate diagnosis is crucial for optimal recovery and prevention of long-term complications.

Treatment

Non-surgical management may be considered for mild, stable injuries:

Rest and activity modification
Ice application and elevation to reduce swelling
NSAIDs for pain and inflammation
Immobilization with a cast or boot

Surgical treatment is often recommended for unstable or displaced fractures:

Open reduction and internal fixation (ORIF): The bones are carefully realigned and stabilized with screws and plates
Tarsometatarsal (Lisfranc) fusion: In severe or chronic cases, fusion of the joint may be necessary to restore stability and relieve pain

Dr. Pino uses modern, patient-specific surgical techniques to ensure precise alignment and secure fixation, which helps:

Reduce the risk of post-traumatic arthritis
Promote earlier mobilization
Maximize long-term foot function and strength

Recovery

Weight-bearing is usually restricted initially, with gradual progression under guidance
Physical therapy is prescribed to restore strength, mobility, and balance
Full recovery can take several months, depending on injury severity and adherence to rehabilitation

Why Choose Alejandro Pino, MD for Lisfranc Fractures

Patients choose Dr. Pino because he:

Offers state-of-the-art fixation and fusion techniques tailored to the patient's anatomy
Focuses on early mobilization and functional recovery
Utilizes minimally invasive approaches when possible to reduce soft tissue trauma
Has extensive experience with complex midfoot injuries