Lisfranc fixation for fracture-dislocation injury surgical technique
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Learn the Lisfranc fixation for fracture-dislocation injury surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Lisfranc fixation for fracture-dislocation injury surgical procedure.
Fracture-dislocations of the tarso-metarsal joints are collectively given the eponymous name of Lisfranc injuries. In fact, the name Lisfranc only applies to the exceedingly strong plantar ligament that binds the base of the second metatarsal to the medial cuneiform. Invariably, this ligament is injured in a wide spectrum of injuries ranging from pure ligamentous injuries to multiple, comminuted fracture-dislocations of the tarso-metatarsal complex. Therefore, these injuries are difficult to meaningfully classify and there is no one surgical method to reconstruct them. Debate remains regarding the role of open reduction and internal fixation versus primary fusion or a combination of the two techniques. What seems to be true is that restoration of anatomy with either philosophy leads to the best results. Therefore, it is important that the surgeon can fully appreciate all injured structures and deal with each of them when reconstructing the midfoot.
In this case, a 24-year old rugby player sustained a closed injury to his left foot during a game. He described his toes being fully planted on the ground with his heel in the air when an opponent fell heavily onto the heel and the foot twisted. He presented with a swollen, painful foot through which he found it difficult to bear weight.
Author: Mark B Davies FRCS (Tr & Orth)
Institution: The Northern General Hospital, Sheffield.
- Each operation and the questions associated become a named course in the CPD section
- The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
- You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
- The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
- There are four possible answers of which one is correct (or on occasion more correct) than the others.
- There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
- The course is completed once all the lessons are read and quizzes submitted and passed.
- On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
- Your dashboard also will contain a record of the time you have spent logged onto and using the site.
- The timer suspends after 5 minutes though if there is no activity.
- When you restart you will resume at the same point in the module.
- Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
The pass mark is 75%.
- If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
- Once these have been read you can re-do just the questions you failed on.
- Once you have passed the quiz you can return at a future stage & resit .
- Operation Quiz – 1 CPD point
- Surgical steps Quiz – 1/4 CPD point
- Implants Quiz – 1/4 CPD point
- Problem case Quiz – 1/2 CPD point
One CPD point equates to one hour of academic activity
Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.
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