2025, Vol. 7, Issue 2, Part C
Dorsal Bridge Plate and Screw Fixation for Lisfranc Fracture in a 30-Year-Old Male: A Superior Alternative to K‑Wire Fixation
Author(s): Tushar Bharat Ramteke, Jairam Jagiasi, Vijay Sarukte, Aditya Mugutrao, Karan Pandav, Aibin B Michael and Vinayaka Reddy
Abstract: Background: Lisfranc injuries are rare but serious mid-foot trauma involving the tarsometatarsal (TMT) joints. Precise anatomical reduction and stable fixation are crucial to prevent chronic dysfunction. Historically, K-wire fixation was standard, but newer studies support plate and screw constructs for better stability and outcomes.
Case Presentation: A 30-year-old male sustained a Lisfranc fracture-dislocation with associated second metatarsophalangeal joint facture dislocation and third metatarsal shaft fracture after a motor vehicle accident. Surgical intervention was indicated.
Methods: Open reduction and internal fixation were performed using a dorsal bridge plate and transarticular screw for the Lisfranc injury and K-wires for the additional fractures. This method ensured accurate reduction, stable fixation, and early mobilization, overcoming the common drawbacks of K-wire fixation such as limited stability and the need for implant removal.
Results: Postoperative imaging confirmed anatomical alignment and stable hardware placement. The patient had uneventful healing, early mobilization, and excellent recovery, achieving an American Orthopaedic Foot and Ankle Society (AOFAS) mid-foot score of 85 at 12 months. No hardware complications were noted.
Conclusion: Dorsal bridge plating with screw fixation offers distinct advantages over K-wires, including greater stability, reduced cartilage injury risk, and no need for secondary surgery. This technique presents an effective option for young active adults requiring Lisfranc fracture fixation.
DOI: 10.22271/27078345.2025.v7.i2c.277Pages: 148-150 | Views: 241 | Downloads: 74Download Full Article: Click Here
How to cite this article:
Tushar Bharat Ramteke, Jairam Jagiasi, Vijay Sarukte, Aditya Mugutrao, Karan Pandav, Aibin B Michael, Vinayaka Reddy.
Dorsal Bridge Plate and Screw Fixation for Lisfranc Fracture in a 30-Year-Old Male: A Superior Alternative to K‑Wire Fixation. Int J Case Rep Orthop 2025;7(2):148-150. DOI:
10.22271/27078345.2025.v7.i2c.277
