Lisfranc Injuries and orthotic treatment

Lisfranc injuries, also known as Lisfranc fractures or dislocations, are a type of injury that affects the bones and joints in the midfoot. These injuries occur when the bones in the midfoot are damaged or dislocated, often as a result of a high-impact or twisting injury. Symptoms of Lisfranc injuries include pain and swelling in the midfoot, difficulty bearing weight on the affected foot, and difficulty moving the toes.

Diagnosis of Lisfranc injuries typically involves a physical examination, X-rays, and sometimes a CT scan or MRI. Treatment for Lisfranc injuries can vary depending on the severity of the injury and may include rest, immobilization, physical therapy, and surgery. In some cases, orthotic treatment may also be recommended to help support the foot and promote healing.

Orthotic treatment for Lisfranc injuries typically involves the use of a custom-made orthotic device, such as a shoe insert or brace. These devices can help to redistribute weight, reduce pressure on the affected area, and provide support to the midfoot. Orthotics can also help to improve alignment and stability in the foot and ankle, which can aid in the healing process.

One study conducted by E. B. O'Malley et al, published in The Journal of Foot and Ankle Surgery in 2016, found that the use of custom-made orthotics was effective in improving pain and function in patients with Lisfranc injuries. The study included 30 patients who had been diagnosed with a Lisfranc injury and had undergone surgery. The patients were randomly assigned to either a group that received custom-made orthotics or a group that did not receive orthotics. The study found that the group that received the custom-made orthotics had significantly less pain and improved function compared to the group that did not receive orthotics.

Another study by J. T. Hwang et al, published in the Journal of Orthopaedic Surgery and Research in 2015, found that the use of orthotics was effective in reducing pain and improving function in patients with Lisfranc injuries who had not undergone surgery. The study included 20 patients with Lisfranc injuries who were treated with orthotics for an average of 12 weeks. The study found that the patients who received orthotics had a significant reduction in pain and improvement in function compared to their pre-treatment levels.

In conclusion, Lisfranc injuries are a type of injury that affects the bones and joints in the midfoot and can cause significant pain and difficulty bearing weight on the affected foot. Orthotic treatment can be an effective way to help support the foot and promote healing in patients with Lisfranc injuries. Studies have shown that custom-made orthotics can be effective in reducing pain and improving function in patients with Lisfranc injuries, both post-surgery and non-surgical cases. However, it's important to consult with an orthopedic specialist or orthotist to determine the best treatment plan and use of orthotics for Lisfranc injuries.