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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 4, 527-530.
doi: 10.1302/0301-620X.86B4.13761  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Results of isolated Lisfranc injuries and the effect of compensation claims

J. D. F. Calder, MD, FRCS Orth, Fellow1; S. L. Whitehouse, PhD, Research Fellow2; and T. S. Saxby, FRACS Orth, Consultant Orthopaedic Surgeon1

1 Brisbane Foot and Ankle Centre, Level Nine, Arnold Janssen Centre, Brisbane Private Hospital, 259 Wickham Terrace, Brisbane, Queensland 4000, Australia.
2 Orthopaedic Research Unit, Queensland University of Technology, Prince Charles Hospital, Rode Road, Chermside, Brisbane, Queensland 4032, Australia.

Correspondence should be sent to Dr T. S. Saxby.

The results of treatment of Lisfranc injuries are often unsatisfactory. This retrospective study investigated 46 patients with isolated Lisfranc injuries at a minimum of two years after surgery. Thirteen patients had a poor outcome and had to change employment, or were unable to find work as a result of this injury. The presence of a compensation claim (p = 0.02) and a delay in diagnosis of more than six months were associated with a poor outcome (p = 0.01). There was no association between poor functional outcome and age, gender, mechanism of injury or previous occupation. This study may have medico-legal implications on reporting the prognosis for such injuries, and highlights the importance of prompt diagnosis and treatment.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General