A member asked:

I am trying to decide between fusion or screws between my 1st and 2nd metatarsal for a lisfranc injury. been told fusion is too new- what do you think?

3 doctors weighed in across 3 answers

Get Details: The lisfranc joint often requires fusion using screws when the joint has been dislocated or is unstable. Get the details from your surgeon so you can make a good choice. The procedure is not new and many foot and ankle surgeons do this procedure on a regular basis.

Answered 4/9/2013

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Dr. Marshall Solomon answered

Specializes in Podiatry

If arthritis or fx p: If just dislocation with out fracture fixation by screw or k-wire would be beneficial. If lisfranc injury involves significant displactement and fracture fusion in the long run may be more beneficial.

Answered 4/11/2013

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NOT NEW: Fusion is not new. There are definitely two camps regarding screw repair vs. fusion. Depending upon the extent of the injury, fusion might be better. And, there is a certain percentage of people who had screw repair, who eventually need a fusion b/c of arthritis following the repair.

Answered 7/7/2016

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