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Hello group,

cmwatsea, thanks for the wonderful report. It is good to be able to look forward to being able to do the things I did prior to my injury.

Well I had my wound check appt today and was placed in a fiberglass cast which I will have to wear for the next 8 weeks non weight bearing. My next Dr. appt is scheduled for 7 August.

I got to look at my foot for the first time since the surgery, and I thought it would look much worse, I took some pictures of it. I wonder what it will look like after 8 weeks being stuck in a cast. I can only imagine.

I got the ORIF and I pray that I will not have any of the problems that I have read in other posts where they ended up having major arthritis and needing their foot fused because of pain issues.

Wishing all a healthy recovery.

- Tracey
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Hey everyone, Its great to read about other people with this injury, because before I got it I had no idea what it was. Now I know :-(.
My lisfranc injury happened on 4/26/09.
I was at college when I fell and thankfully my friends were there to bring me to the ER and the doctor that looked at my xray spotted the lisfranc fracture right away...next day I met with a foot doctor and she was very blunt about this kind of fracture (told me I would never be able to run again and that the screws would stay in my foot forever) so I got a second opinion from another doc which was also closer to home. my swelling was really bad so the surgury was scheduled for 5/11/09 in order for the swelling to go down...2 screws were put into my right foot...2 weeks with a soft cast, then another 5 with a hard cast and absolutely NWB. def. not the way I wanted to spend my summer.
The cast was taken off on 6/30/09 and my doc said that I can put full weight on it. I'm doing PT and getting some strengh and movement back in my foot but its a slow process...I'm in a lot of pain when I try and walk without the crutches - How long did it take any off you to start walking again?
The screws will come out soon because I am a runner and they could be a problem for me later on...I really want to be able to run for my college again and be competative.
But right now walking would be nice!
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Good to hear the good news on your fusion. I was injured 3/23/08. had ORIF on 4/01/08. Horible pain( and I was diagnosed right away) ORIF did not work and I was not going to wait around to "see if it gets better. I went to the UCLA med center. BOSTON special foot nd anle hospital and NYC hospital for Special Surgeries. All of these oppinons I received from the formost Foot and ankle surgens. Primary Fusion is the recommended way to tackle a Lisfranc injury. ORIF just does not hold up to the everyday abuse the oot takes with just normal wear and tear not to ention any sports.

I wish I had done the research on round 1 and not had to go through this twice. I had 1st met. and second met. and 1st and second cuneiforms fused on 12/29/08. It is now 6 plus months post fusion and all I can say is what a difference. I have my life back and can do about 80-85% of the sports I use to.

I had the benefit of free airline travel with my job, so I ttok advantage of it and flew all over to see " the best" in the foot world. with all this said I can only hope that everyone finds the painfree existance they so deserve and are actively looking for. This truely is a debilitating injury if you don't get ahold of it soon. If you see your arch sagging or have continued pain ten don't muscle through it. Your body is telling you there is something wrong. Get it looked at.
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I received my lis franc injury on 06/25/2009. I have a high pain tolerance and knew right away(by the screams that were coming out of my mouth) that this was bad. It immediatly swelled up to the size of a football. The ER doc told me my foot was broke and sent me to a podiatrist. Three days later the podiatrist doc told me that it was a lis franc fracture and dislocation and sent me for a cat scan. I went back to the doc where he proceeded to tell me that I had a devasting injury and my foot would never be the same.

The cat scan showed a 1.9mm dislocation with 6 bones in pieces along with severe soft tissue damage(torn ligaments and tendons). The bones that are broke were the 1st,sec,third metatarsels and 1st, second cuneform bone and the cuboid bone. He told me he did not want to do surgery right now because he was afraid that the dislocation was not severe enough but that surgery could do more damage to the blood vessels of the foot. So he decided to put me in a fiberglass cast for 8 weeks.

He xrayed the leg last week and told me that the dislocation had gotten worse at the 1 and 2nd metatarsel and that he wanted me stay in the cast for another 4 weeks but that he did not think that the foot would be able to hold any weight until it is fused. He said he wants to see if it get any better in the next 4 weeks. He says he does not think that the pins and screws will work and that he is thinking that fusion is the only way to go.

Has anyone ever experienced the dislocation getting worse after being in a non weight bearing cast? I thought from the begining that we needed to do surgery but he was against it but now he is saying fusion. Does this sound like he made a mistake in his origianl findings and that pinning it is now not an option due to the time that has lapsed? Has anyone ever had this corrected with just a cast for 8 weeks? And when you get a bone fusion does it help with the deformity(my foot is really deformed)?Can you were high heels after a fusion or ride a bike? I am thinking that if the fusion makes it almost pain free that this it the route to take,does anyone agree with that? What are the limitiations of having that joint fused, from a personal stand point? Also he said that I tore the ligament that runs along the bottom of the foot? Is that normal for this kind of injury? My foot still is discolored and swells up if I let it hang down and it has been 7 weeks from the injury date, anyone else experience this too? I am so sad and depressed over this whole thing and now I have sharp stabbing pains in my bones that I haven't had before and it scares me. My whole summer with my 6 kids have been a bust and I still can't drive (it was my right foot). I want to get on with my life and I am looking for the fastest way to do that...any options or advice? Personal stories would really help ...I feel so blessed that I found this site but so sad that other people are going thru this along with me! Thanks in advance
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Hello Group,

1 month post op 7 Aug 09, I had my cast removed and am now in a cam walker for 6 weeks. I must say I was looking to be in the hard cast longer. The doctor said everything looked great. I went back to work today which was not too bad. My foot was quite swollen, but as long as I wear the boot there is no pain. I tried to step on the floor barefoot and the pain was nearly unbearable. I won't be trying that again any time soon.

I pray all are healing well.
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Hello All -
I am new to all this so bear with me. I have found this information all very helpful. I ended up with a Lisfranc injury on July 28, 2009. I went out in the dark to put my bike away in the garage when I fell in a small hole. I knew I had broke something as it sounded like spaghetti noodles breaking. I went to the ER and the Dr. said it looked like I have fractured 2 metatarsals and to call in the morning to make an appointment with an Orthopedist. When he came in to the room he said I had crushed my 3rd and 4th metatarsal and fractured my second and would need surgery. I went and got a second opinion from an othropedist I had heard good things about. He tells me that not only did I do the things above, but also dislocated my 2nd-5th joints. He said I would need surgery and would probably be out of work for two weeks. I had same day surgery on August 5, 2009. I ended up with 3 pins, a metal plate, and 8 screws! The spinal block was wonderful and I felt great until about 3:00am then the pain was HORRIBLE!! The first couple days were pretty bad, but other that that I have been able to tolerate the pain. It's the worse in the morning. I keep my foot elavated as much as I can (I have a 2 year old son). I also have to stay home from work for at least a month and this is killing me. I guess I am wondering what the progression is. What should I expect at my follow-up in a few weeks? And in the weeks/months to come after that? Any help would be greatly appreciated!
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Hi there
I just posted about my daughters recovery progress from a lisfranc fusion surgery. SShe is a very high level athlete and is almost 5 months out from the surgery now. I meant to post it here on this link as I felt it would help a lot of the questions I have read. It should be under Lisfranc Fusion Progress. Hope it helps.
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Hi there
I just posted about my daughters recovery progress from a lisfranc fusion surgery. SShe is a very high level athlete and is almost 5 months out from the surgery now. I meant to post it here on this link as I felt it would help a lot of the questions I have read. It should be under "Lisfranc Fusion Recovery." Hope it helps.
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:-D
I was looking for info to send to my cousin re: lisfranc injuries, did a google search and this site came up. Without giving away identities, I was so surprised to see this post from a fellow gym mom who I believe I know personally, and am delighted to see that your daughter's progressing well with this most difficult of injuries. I hadn't thought to commiserate or post info on my daughter's lisfranc injury during the whole experience, but after the fact, I realize it is helpful, and good to hear positive outcomes. I remember how discouraging most websites were.
My daughter, a gymnast and dancer, suffered a lisfranc in January of 2008. It was misdiagnosed, and finally correctly identified by an orthopedic foot specialist in April of 2008. The new doctor, who has published articles on the subject suggested immediate surgery. It's been a while so I don't remember the medical details, but since she had been off her foot for the most part of 4 months, she required only one screw. He didn't do a fusion because he wanted the ligament to reattach on its own for better foot mobility. This involved a grueling recovery for an active high school girl. 4 months on crutches with no weight bearing at all. Then 3 weeks of incremental weight on foot. She was able to transition from cast to boot after about 2 months, after convincing her doctor she would be good and put no weight on foot and stay out of the gym. She had the screw removed in August 08 and after a few weeks got the all clear to proceed with all activities including tumbling, dancing, leaping, etc.
My daughter, being the cautious type, was a little tentative, but was surprised to find that as she eased into these foot pounding activities, there was no pain or swelling. Her muscles in other parts of the foot were a little sore, but the doctor assured us this was normal and temporary.
She was able to train enough to compete several gymnastic meets in February 09, has resumed dance classes, and will be competing for a college team in the fall. I am eternally grateful to this doctor for his expertise, and wish we had found him right away, but fortunately her foot has been operating 100% since September of last year, and is now a distant, albeit painful memory.
So it seems there are many avenues to full recovery, and so much of it involves finding a knowledgeable doctor. It isn't always easy for a kid who's been in a sport where you are told to live with pain to follow directions and not jump the gun, but the rewards were worth those torturous days on crutches and no lower body activities. There is most definitely hope for a pain free life!! All the best for great competitive seasons to come for your daughter in gymnastics!
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I have copied the post that I made regarding my daughters lisfranc fusion recovery progress. I thought it related to a lot of people who have posted on this thread and I noticed it was quite difficult to locate the other post. So here it is. Hope it is encouraging. I will post again in a few more months.

Hi to all of you who are constantly wondering what is in front of you regarding progress, pain, etc. I am the mom of a high level gymnast who suffered a lisfranc injury with a 3mm separation one year ago to this date! Here is a brief summary of her journey:

August 18 2008: Landed awkwardly, felt toe pop. Diagnosed with a bad midfoot sprain. After a few days we realised this was not the case. Finally got in to see an ortho over 2 weeks later, due to insurance problems! Diagnosed with lisfranc sprain/dislocation. Since she was being recruited at this time and all bones in her foot were in line except for the 3mm separation between 1st and second metatarsal the specialist said we could try the non surgical conservative route, although he would prefer to do a fusion surgery.
He said that as a gymnast the fusion would have more success of standing up to the sport. He did not offer her any guarantees that she would be able to do gymnastics again though. We chose the conservative route.

8 weeks in a boot non weightbearing then 6 weeks in boot weight bearing. Then physical therapy and laser therapy. Her foot did improve and she could walk pain free but could not run. Jumping hurt too. After 7 months it began to get worse again!

April 1st 2009: Went back for fusion surgery. 2 screws; one from middle cuneiform to medial cuneiform and the other from medial cuneiform to second metatarsal along with a synthetic bone graft to fill the gap.

6 weeks in a cast non weight bearing then 4 weeks in a boot weight bearing. Weekly visits to our sports chiropractor/kinesiologist for laser and adjustments. Pretty much pain free when walking in the boot. Can point her toes fully again after about 4 days.

Next she was allowed to walk in shoes and barefoot. She had a lot of initial pain as her new foot adjusted to walking properly. She was vigilant with rehab and exercises to strenghthen her foot and ankle and calf. Prior to this she had only had a week off training. This was immediately after surgery. Continued with weekly visits to the chiropractor for laser and adjustments.

Took Ezorb calcium supplements along with vitamin D daily to aid in new bone development.

Walked with a very slight limp for the first three weeks but this disappeared as she focused on walking through the pain.
Swelling was noticeable but not too bad although she did have some days worse than others.

Today it is almost 5 months since her fusion surgery and she SPRINTED!!! for the first time in a year. She said it still hurt but not a lot and was certainly manageable. She can now also do the following:
Rise on her toes
Walk on her toes
Jump
Leap

She has spent the last month in the gym barefoot for at least 4 hours in a day. This has been 6 hours a day this past week. She has an athletic trainer who massages her foot to break up the scar tissue. She says it feels so much better after this has been done. She still has a way to go to be back into full tumbling and vaulting but the progression is definitely evident. The swelling has been way better these last few weeks. She says her foot is stiff in the mornings and she still has pain over the surgery site but it is definitely improving. She said that often it is discouraging because it seems like such slow progress. It seems like its not getting much better then you suddenly notice one day that it is feeling better. She has not done any heavy pounding activities and there are certain angles that hurt more than others although these are also getting less too. As for walking and jogging she says her foot is fine! So if you are not an athlete fusion is definitely the way to go.

It is still early days yet for a lisfranc fusion, as it is meant to take up to a year to really feel better.

So I encourage you all on your lisfranc journey. A fusion seems to be the way to go especially if you are an athlete. If you have any questions I would be happy to help if I can. All i know is that this injury is a BIG challenge to anyone. Dean from this board was an amazing help for me as my daughter went through the surgery and following months. Thanks Dean!
I hope we can continue to give you good news in the months ahead. My daughter heads off in 3 weeks, to compete for a fantastic college gymnastics team. She will still be rehabbing for a while yet but hopefully she'll be ready to go the following season.
GOOD LUCK, stay positive and stay fit! It certainly aids recovery.

Gymnastics Mom
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I am new here and I have been reading, and this at least gives me some hope. I fell through the stairs at my job on 5/28/09, they took me to the ER and took xrays and they told me was a sprain and strain. A week after I went to see the doctor from worker's compensation who order me new set of xrays and again diagnosed me with a sprain and strain and send me home and RICE . Then a nurse practitioner saw me and sent me to Physical Therapy and I went to my PT. The time passed and I was still with the pain in my foot. They never referred me to a Podiatrist and my therapist suggested me to ask for a referral, so I did. 3 months have passed and I saw the Podiatris on Monday and he diagnosed me with lisfranc fracture with dislocation, put me back on a boot and informed me that I need surgery, which will be 1 screw. I am very scared, I was doing everything right to get better and now after 3 months this again, so I am going to go through the whole thing of being in bed again. I really don't know what to do and my question is if my foot ever will be the same or at least close to what I was before. I am 44 years old, but I am very active.
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Hi to Unique14
Yes there is hope! I am concerned for you that you get the correct surgery first time. The majority of posts on this board are people who have had a lisfranc surgery that has been unsuccessful in relieving pain. Some were successful and then slowly regressed. I did an enormous amount of research on the Lisfranc Fusion (arthrodesis) versus the ORIF. (open reduction and fixation) It seems a lot more likely that you will have a successful result from the fusion surgery rather than the ORIF. There have been studies done on this that have also proven that the fusion has a better success rate. I advise you to check this out before you have the surgery. Read DEANO 's posts earlier in this thread, as he went to an enormous amount of research and had consultations by recognised foot and ankle surgeons. They reccommended fusion for him. My daughter has had fusion and is still progressing well and she is training gymnastics for over 4 hours 6 days a week. I know you feel hopeless right now but once you have had the surgery (both are very similar) then you will be on the road to recovery. My advice is look seriously into the fusion option. Some doctors think this is too drastic and like to try the other first....problem being there is a high chance, that after 3 months walking on it like you have done, the surgery will not solve the pain issue. Our surgeon was adamant that the fusion was the only way to go if it was any later than 3 weeks after the initial accident. He had seen too many failures in his time. In fact he would not even offer ORIF for her he was so adamant!
Good luck on your future surgery. I am sure you will do just fine if you stay very positive and keep active, even when you are on crutches!
If you have any questions I will try and help. DEANO is even better at me at answering questions about fusion and ORIF because he has had both.

GymnasticsMom
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This post is incredible and I wish everyone could see it so that they could benefit from your wisdom!!! I don't think I knew a single thing about Lisfranc surgeries until I read it. Where was this surgeon from? WHere did you get this done? My cousin had this done and she was very happy with the fusion option. I'm curious to hear if we had the same surgeon. Thanks!
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Thanks healthfitnessguy.
The Doctor was Dr Maurice Baumgarten. He is a foot and ankle ortho based in Duarte CA. My daughter has just been seen by the UCLA arhletic team ortho who looked at her xrays and commended the surgery. So all is still looking good.
Hope everyone else is doing okay and staying positive.

Gymnastics Mom
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I have been reading tons and tons on Lisfran Injuries. what is the typically time frame for healing from such injury. I ended up with 3 pins, 9 screws, and a plate. It's been 5 weeks and I go back to the Ortho Surgeon next week to hopefully have the pins out as well as the stitches. What typically happens after that? Will I still have to be non weight bearing? Will I have to wear a cast? I guess I am just curious. I don't like to not be in the know when it comes to situations regarding parts of my body!
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