I WAS TAKEN TO THE ER IMMEDIATELY TO BE EVALUATED. WITHIN 2 HOURS I WAS DIAGONISED WITH LISFRANC FRACTURE ON MY LEFT FOOT. I HAD DISLOCATED ALL 5 METATARSALS. I HAD TO WAIT 2 WEEKS FOR SURGERY TO ALLOW THE SWELLING TO SUBSIDE. THOSE WERE THE LONGEST 2 WEEKS OF MY LIFE. I HAD SURGERY ON SEPTEMBER 18, 2006.
I HAD BEEN SCHEDULED FOR A 2-2.5 HOUR SURGERY. WHEN I AWOKE IT HAD BEEN 5+ HOURS. MY PHYSICIAN SAID IT WAS ONE OF THE WORST LISFRANC FRACTURES SHE HAD EVER SEEN. I RECEIVED 3 PINS AND 4 SCREWS TO HOLD EVERYTHING BACK IN PLACE. THE PINS SUPPORTED THE SMALLER TOES/BONES WHILE THE SCREWS ARE SUPPORTING THE BIGGER TOES/BONES.
SIX WEEKS OF NO WEIGHT BEARING WITH A FIBERGLASS CAST. AT THIS POINT THE PINS WERE PULLED OUT. AMAZING NO PAIN WAS FELT ASSOCIATED WITH THE PINS BEING PULLED OUT. THE ONLY PAIN WAS WHEN THEY BROKE THE SKIN AWAY FROM THE PINS ALLOWING THEM TO GET A GRIP ON THE PINS. OUT OF THE FIBERGLASS CAST STRAIGHT INTO A WALKING BOOT. FELT GREAT TO FINALLY WASH MY LEG AND FOOT. THE NEXT DAY I STARTED PHYSICAL THERAPY (PT). ONE WEEK LATER I WAS ABLE TO WALK WITH THE BOOT AND ONE CRUTCH.
MY FOOT WAS SWOLLEN AND STILL IS BUT WHEN TRAUMA OF THIS MAGNITUDE IS EXPERIENCED IT’S JUST NOT GOING TO GO BACK TO NORMAL OVERNIGHT, HOPEFULLY ONE DAY IT WILL LOOK LIKE THE RIGHT FOOT. THE PT IS CONCENTRATED ON MY ANKLE. ONCE AGAIN WHEN YOU HAVE SERIOUS TRAUMA TO THE FOOT YOU ANKLE PAYS THE PRICE. MY ANKLE IS GETTING STRONGER AND TODAY (9 WEEKS POST SURGERY) I’M WALKING VERY SLOW WITHOUT A CRUTCH. I STILL NEED CRUTCHES WHEN I HAVE THE BOOT OFF WALKING AROUND THE HOUSE.
THE NEXT STEP WILL BE TO MOVE OUT OF THE BOOT INTO A SHOE WITH AN ARCH SUPPORT. SIX MONTHS POST SURGERY I WILL HAVE ANOTHER SURGERY TO HAVE THE 4 SCREWS PULLED OUT. I AM 36 YEARS OLD AND OPTIMISTIC ABOUT RECOVERY BASED ON MY HEALTH AND MY PHYSICIAN’S ADVICE OF SURFING AGAIN IN THE SUMMER OF 2007.
IF I CAN OFFER ANY ADVICE IT WOULD BE PARTICIPATE IN PHYSICAL THERAPY WHEN RECOMMENDED BY YOUR PHYSICIAN AND DO THE FOOT EXERCISES AT HOME WHILE YOU ARE CAMPED OUT ON THE COUCH, START TAKING GLUCOSAMINE, AND LOVE THE PEOPLE WHO TAKE CARE OF YOU.
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Just to let ya'll know things get much better.
I had my lisfranc fracture operated on back in May after jumping off a roof.
After surgery and waiting and rehab I was walking pretty well by mid-august and now I have almost no trace of my injury (except the scars on my foot)( and I can tell when it is going to rain) I can walk, run and ride as well as before my injury and in October I was surfing the Outer Banks.
Do your PT like crazy everyone and riding a stationary bike is a good low impact way to get that leg back in shape.
Good luck
Kevin
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I'm debating whether I should pursue surgery. Any advice? I'm 29 and very active. Life long injury would devastate me.
Dear Cooleywg,
I'm not a doctor, but from what I've experienced/read about this injury, weight-bearing x-rays are a must to determing displacement - and I understand that more than 2 mm displacement renders you a good candidate for surgery. If you have not done so already, it's probably a good idea that you see an orthopedic surgeon whose focus is foot/ankle injuries.
Wtrskid
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I WAS TAKEN TO THE ER IMMEDIATELY TO BE EVALUATED. WITHIN 2 HOURS I WAS DIAGONISED WITH LISFRANC FRACTURE ON MY LEFT FOOT. I HAD DISLOCATED ALL 5 METATARSALS. I HAD TO WAIT 2 WEEKS FOR SURGERY TO ALLOW THE SWELLING TO SUBSIDE. THOSE WERE THE LONGEST 2 WEEKS OF MY LIFE. I HAD SURGERY ON SEPTEMBER 18, 2006.
I HAD BEEN SCHEDULED FOR A 2-2.5 HOUR SURGERY. WHEN I AWOKE IT HAD BEEN 5+ HOURS. MY PHYSICIAN SAID IT WAS ONE OF THE WORST LISFRANC FRACTURES SHE HAD EVER SEEN. I RECEIVED 3 PINS AND 4 SCREWS TO HOLD EVERYTHING BACK IN PLACE. THE PINS SUPPORTED THE SMALLER TOES/BONES WHILE THE SCREWS ARE SUPPORTING THE BIGGER TOES/BONES.
SIX WEEKS OF NO WEIGHT BEARING WITH A FIBERGLASS CAST. AT THIS POINT THE PINS WERE PULLED OUT. AMAZING NO PAIN WAS FELT ASSOCIATED WITH THE PINS BEING PULLED OUT. THE ONLY PAIN WAS WHEN THEY BROKE THE SKIN AWAY FROM THE PINS ALLOWING THEM TO GET A GRIP ON THE PINS. OUT OF THE FIBERGLASS CAST STRAIGHT INTO A WALKING BOOT. FELT GREAT TO FINALLY WASH MY LEG AND FOOT. THE NEXT DAY I STARTED PHYSICAL THERAPY (PT). ONE WEEK LATER I WAS ABLE TO WALK WITH THE BOOT AND ONE CRUTCH.
MY FOOT WAS SWOLLEN AND STILL IS BUT WHEN TRAUMA OF THIS MAGNITUDE IS EXPERIENCED IT’S JUST NOT GOING TO GO BACK TO NORMAL OVERNIGHT, HOPEFULLY ONE DAY IT WILL LOOK LIKE THE RIGHT FOOT. THE PT IS CONCENTRATED ON MY ANKLE. ONCE AGAIN WHEN YOU HAVE SERIOUS TRAUMA TO THE FOOT YOU ANKLE PAYS THE PRICE. MY ANKLE IS GETTING STRONGER AND TODAY (9 WEEKS POST SURGERY) I’M WALKING VERY SLOW WITHOUT A CRUTCH. I STILL NEED CRUTCHES WHEN I HAVE THE BOOT OFF WALKING AROUND THE HOUSE.
THE NEXT STEP WILL BE TO MOVE OUT OF THE BOOT INTO A SHOE WITH AN ARCH SUPPORT. SIX MONTHS POST SURGERY I WILL HAVE ANOTHER SURGERY TO HAVE THE 4 SCREWS PULLED OUT. I AM 36 YEARS OLD AND OPTIMISTIC ABOUT RECOVERY BASED ON MY HEALTH AND MY PHYSICIAN’S ADVICE OF SURFING AGAIN IN THE SUMMER OF 2007.
IF I CAN OFFER ANY ADVICE IT WOULD BE PARTICIPATE IN PHYSICAL THERAPY WHEN RECOMMENDED BY YOUR PHYSICIAN AND DO THE FOOT EXERCISES AT HOME WHILE YOU ARE CAMPED OUT ON THE COUCH, START TAKING GLUCOSAMINE, AND LOVE THE PEOPLE WHO TAKE CARE OF YOU.
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None of my bones were broken, but they did see flecks where the lisfranc ligament ripped from the bone.
When someone has a lisfranc fracture are any bones bones broken (in the tradition sense)? Are flecks from the ligament ripping from the bone considered a lisfranc fracture?
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As far as podiatric surgeons vs. MD surgeons are concerned, you should know there is a difference in their training. Podiatric surgeons go to podiatry college, then do a 3 year residency in foot surgery, usually coupled with ankle surgery. Orthopedic surgeons go to medical school, then do a similar residency. The doctor who performed my surgery is a podiatric surgeon, rather than an MD. He did a good job, but I found that orthopedic surgeons are MUCH more conservative in their post-op treatment when I went to see one for an ankle issue after my lisfranc operation.
As far as your question is concerned, yes, the bones around the lisfranc joint can break. I had a fracture, as well as a fragment at the tarsometatarsal joint between the first and second metatarsals.
Is there a way for you to get another opinion ?
Wtrskid
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My pain was pretty high when I woke up, but improved with the morphine. I am home today and taking it easy. Having dajvu, with not able to walk again.... My Dr. instructed me to keep my foot up and not to put any weight on my foot for 3 weeks, then I will be back to wearing the robo boot. At that time I will also go for physical thearpy. To those who have had thearpy, what exactly do they have you do? I'm just curious.
My husband asked my Dr. yesterday before my surg. would I continue to limp. We were told with this type of injury (Lisfranc) that the chances are high that I will have chroinc pain. A midfoot injury of this kind is just about the worst thing you can do to your foot. He gave me an example of a pt. who had a knee replacement, borken leg & lisfranc in his foot,( due a car accident) said that after a year of recovery the pt. said it was just his foot that was giving him pain. ( lisfranc) I'm sorry to seem negative, guess I am having one of those days. I know it could always be worse. I would like to say how amazed I am that so many people have never heard of this injury. A few of the nurses in the hosp.( yesterday) had never heard of it?? It's hard to explain to friends, co-workers, that yes, I am still having pain. If you had never heard of it, it seems odd. As with most fractures, you are completley better in 6-8 weeks. Okay, I am done with the complaining. Thanks for listening and good to luck to all of you....
SKH
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It took me about 2 weeks after I started weightbearing, I think, to wear a sneaker. Boots or shoes were difficult and felt pretty tight at first, esp. b/c your foot will continue to swell for the next few months. After my screw was removed, I was back in the boot for another week or so, then a sneaker, and a few weeks later, shoes. Now I can wear shoes, boots, etc., though on heels, I stilll get some swelling at the end of the day. FYI, my surgery was at the end of July, and my screw was removed around 11 weeks afterwards. One thing that helped me was riding a stationary spin bike on almost zero intensity, which I started doing in the boot around 6 weeks after my surgery. My boot had ridges on the bottom, which anchored it over the pedals.
Good luck!
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Now I am curious.. for those going through this, or went through it previously... How long did it take to be able to walk normally? How long until you could run or sprint?
Dear Jolinski,
My surgery was at the end of July. I started running about a month ago - no more than a mile at a time, on a treadmill, and pretty slowly (10 minute miles). Walking evened itself out the same time I started running, though barefoot, I still limp a bit. I should tell you, however, that although the podiatric surgeon who did my surgery said running was ok at this time provided there is no pain, an orthopedic surgeon I saw a couple of weeks ago said that he does not let his patients run for 6 months after their initial lisfranc surgery. He also said I should wear arch support inserts in my running shoes and street shoes, which I find difficult since you need to purchase larger shoes to fit them in comfortably.
As for sports, I sustained an ankle injury as well when I broke my foot, so that's keeping me put a bit longer. The ortho surgeon said I should wait till 6 months before attempting to go back to waterskiing, etc. My doctor gave me carte blanche, so long as there is no pain.
Wtrskid
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had Lisfranc / ORIF surgery last Thursday (12/14), i'm told they had to use two screws to put everything back in place. in the soft cast right now and was told the usual - no weight for 6 weeks.
the most bizarre/puzzling thing though...excluding the first 48 hours post op, and excluding the 'uncomfortableness' of the cast, i feel no pain. i mean none whatsoever. i have full senses in all my toes. it's actually starting to worry me. how bad was everyone's pain post surgery? i took pain meds for the first 48 hours post op but haven't needed them since.
am i lucky? is my surgeon a genious? i have a follow-up appt. this friday. i'll let you all know how it goes.
thanks to all who have contributed to this post. it certainly is nice to know there are others out there...
thanks.
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On Oct.2 I had surgery and spend 4 days in the hospital. I had that after surgery boot, hard cast that goes under your foot and up your leg with ace bandage warped around it. I had to wait three weeks to have the stitches out because I’m on blood thinners because of a heart attack and after two weeks my foot was still bleeding a little when they removed the bandage. After that I went into a robo-boot non-weight bearing for 6 weeks, boy that was fun with my ankle killing me on the other foot. The doctor then said I could walk without my crutches with my boot on (8 weeks) which messed my back up so they put a lift on my left shoe to even me out and I started PT on my left foot. At ten weeks I started PT on my lifranc injury, they stick me in a whirlpool first then I do pretty much the same thing for both feet. The thing that makes my foot feel the best at therapy is this gentle stretching they do on my foot it’s really improved the motion in my toes. Speaking of toes I have no feeling in the top of my toes, its worse at my big toe and gets better at my little toe, couldn’t stand to have the sheets touch it in bed. I had a heart attack and by pass surgery last January and they removed the artery from my chest for the bypass and had the same feeling with the tingling and numbness and they prescribed a drug called Neurotin so I asked my doctor if he could prescribed it for my foot and its helped me allot, its takes the sensitive sensation away. The last doctor’s visit Dec. 6 he told me the screws will come out in February (I have three screws and two dissolving pins) and I should be somewhat normal by April. I’m hoping next year will be a better year for me this year hasn’t been to good started last January with heart attack and by pass, lost my dad in May and now this. I’m sorry if this is a little long and I really appreciate all the posts to this board it’s helped me allot. Well hope everyone has a nice Christmas!
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How big was your incision and how many did you have from your ORIF lisfranc surgery? I'm mostly just curious what to expect this time around with surgery.
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