{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:29Z","timestamp":1787755229025,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Essential Surgical Techniques"],"abstract":"<jats:p>Lisfranc injuries consist of a wide spectrum of injuries, ranging from subtle injuries to severe fracture-dislocations. Injuries with instability of the tarsometatarsal, intercuneiform, or naviculocuneiform joints should be treated with anatomic reduction and stable fixation. The best method of fixation is debated. Transarticular screw fixation has the disadvantage of damaging the tarsometatarsal joints. Bridging the tarsometatarsal joints with use of low-profile locking plates avoids the placement of screws through the joint and potentially reduces the risk of posttraumatic arthritis. Primary arthrodesis of the 3 medial tarsometatarsal joints is also an option in treating Lisfranc injuries and has been shown to lead to better outcomes compared with transarticular screw fixation in ligamentous Lisfranc injuries. In this article, we show the technique of open reduction and internal fixation of Lisfranc fracture-dislocation with use of dorsal bridging locking plates. The following steps are presented in the video: (1) incision technique with use of a dorsomedial incision and a dorsolateral incision, (2) open reduction and temporary fixation of the tarsometatarsal joints with use of Kirschner wires, (3) confirmation of anatomic reduction of the tarsometatarsal joints with direct visualization and fluoroscopy, (4) fixation of the medial 3 tarsometatarsal joints with dorsal bridging locking plates, (5) placement of a \u201chomerun\u201d screw from the medial cuneiform to the base of the second metatarsal, (6) fixation of the fourth and fifth tarsometatarsal joints with Kirschner wires, and (7) checking of reduction and fixation with use of fluoroscopy and performance of wound closure. Postoperatively, the foot is kept non-weight-bearing in a below-the-knee cast for 6 weeks, followed by 6 weeks of protected weight-bearing in a walker boot. Any Kirschner wires fixating the fourth and fifth tarsometatarsal joints are removed 6 weeks postoperatively. We prefer to remove the dorsal bridging plates 4 to 6 months postoperatively. Anatomic reduction and stable fixation is associated with better functional outcomes. Hardware failure and loss of reduction are potential complications that can lead to worse outcomes.<\/jats:p>","DOI":"10.2106\/jbjs.st.19.00009","type":"journal-article","created":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T14:12:53Z","timestamp":1573049573000},"page":"e39","source":"Crossref","is-referenced-by-count":9,"title":["Open Reduction and Internal Fixation of Acute Lisfranc Fracture-Dislocation with Use of Dorsal Bridging Plates"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4173-2748","authenticated-orcid":false,"given":"Are Hauk\u00e5en","family":"St\u00f8dle","sequence":"first","affiliation":[{"name":"Section for Foot and Ankle Surgery, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"},{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5169-7993","authenticated-orcid":false,"given":"Fredrik","family":"Nilsen","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway"},{"name":"Section for Foot and Ankle Surgery, Department of Orthopaedic Surgery, \u00d8stfold Hospital, Sarpsborg, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1683-8214","authenticated-orcid":false,"given":"Marius","family":"Molund","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway"},{"name":"Section for Foot and Ankle Surgery, Department of Orthopaedic Surgery, \u00d8stfold Hospital, Sarpsborg, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3297-3224","authenticated-orcid":false,"given":"Elisabeth","family":"Ellingsen Husebye","sequence":"additional","affiliation":[{"name":"Section for Foot and Ankle Surgery, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7639-0381","authenticated-orcid":false,"given":"Kjetil","family":"Hvaal","sequence":"additional","affiliation":[{"name":"Section for Foot and Ankle Surgery, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"4","key":"bib1-20230808","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1302\/0301-620X.100B4.BJJ-2017-0899.R2","article-title":"Dorsal bridge plating or transarticular screws for Lisfranc fracture dislocations: a retrospective study comparing functional and radiological outcomes","volume":"100-B","author":"Kirzner","year":"2018","journal-title":"Bone Joint J."},{"issue":"5","key":"bib2-20230808","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/107110078600600504","article-title":"Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment","volume":"6","author":"Myerson","year":"1986","journal-title":"Foot Ankle."},{"issue":"6","key":"bib3-20230808","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1590\/1413-78522014220600576","article-title":"Outcome comparison of Lisfranc injuries treated through dorsal plate fixation versus screw fixation","volume":"22","author":"Hu","year":"2014","journal-title":"Acta Ortop Bras."},{"issue":"3","key":"bib4-20230808","first-page":"514","article-title":"Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study","volume":"88","author":"Ly","year":"2006","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib5-20230808","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1053\/j.jfas.2016.03.002","article-title":"Plates, screws, or combination? Radiologic outcomes after Lisfranc fracture dislocation","volume":"55","author":"Lau","year":"2016","journal-title":"J Foot Ankle Surg."},{"issue":"11","key":"bib6-20230808","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.2106\/00004623-199611000-00005","article-title":"Results of arthrodesis of the tarsometatarsal joints after traumatic injury","volume":"78","author":"Komenda","year":"1996","journal-title":"J Bone Joint Surg Am."},{"issue":"11","key":"bib7-20230808","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.2106\/00004623-200011000-00015","article-title":"Outcome after open reduction and internal fixation of Lisfranc joint injuries","volume":"82","author":"Kuo","year":"2000","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib8-20230808","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1053\/j.jfas.2016.04.005","article-title":"Functional outcomes after temporary bridging with locking plates in Lisfranc injuries","volume":"55","author":"van Koperen","year":"2016","journal-title":"J Foot Ankle Surg."},{"issue":"6","key":"bib9-20230808","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1177\/107110070502600607","article-title":"Ligamentous Lisfranc joint injuries: a biomechanical comparison of dorsal plate and transarticular screw fixation","volume":"26","author":"Alberta","year":"2005","journal-title":"Foot Ankle Int."}],"container-title":["JBJS Essential Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.ST.19.00009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:44Z","timestamp":1787751584000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.ST.19.00009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.st.19.00009","relation":{},"ISSN":["2160-2204"],"issn-type":[{"value":"2160-2204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]}}}