Hi all, I'm only 19 this year and I am unfortunately joining the lisfranc club. I was playing soccer (football) last year and I suffered an unfortunate lisfranc injury.
My doctor diagnosed it as a lisfranc injury after a week and I was told that ORIF was necessary. However, as I was in the middle of my A' Level examinations (a UK high school leaving examination), I decided to forego ORIF. I had an avulsion to my 2nd metatarsal bone. I underwent conservative treatment (forced it on my doc) and was non-weight bearing for 2 weeks. There was no displacement
To be honest, 3 weeks after my lisfranc injury, I was able to walk just fine. It wasn't particularly painful. I was able to tip toe after a month (minimal weight) and I could sprint after 4-6 weeks.
It's been nearly 1 and a half years since my lisfranc injury. However I just found out a few weeks back that while my fracture has healed, though the avulsion is still present. I'm experiencing a little more pain today than at the beginning. I was also told that my displacement has widened to 3mm.
Should I go for the surgery, and if so, which surgery should I request? Is ORIF back in the picture? Since the bone has healed? Or am I stuck with fusion?
Also, does anyone have experience with tightrope surgery? Logically it seems to be the best option for me but all my surgeons (sought 3 opinions) are pushing for fusion. Actually, 1 of the 3 said that no surgery is required if I don't have debilitating arthritis.
Previously seen fracture at the plantar aspect of the base of the 2nd metatarsal has completely healed. Bony union is noted. No evidence of malunion is noted.
There is a small bone fragment noted between the 1st and 2nd metatarsal base, probably a small avulsion injury. No fracture line is seen.
Tarso-metatarsal joints are unremarkable. Alignment of the joints of the foot are preserved.
If indeed the ligaments haven't fully healed, should I operate? Or should I simply wait it out?