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Old 06-06-2002, 07:05 AM   #1
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JIM OPALKA HB User
Unhappy LISFRANC INJURY

INJURY OCCURRED AT WORK IN 11/01. USING MY FOOT TO RELEASE HAND CART FROM STACKS OF FREIGHT (200lbs.)
MISDIAGNOSED FOR 3+ MONTHS. CASTED FOR 6 WEEKS ON 2/14. REMAINED ON CRUTCHES FOR 2 MONTHS. NOW WEARING UCBL ORTHOTICS. STILL HAVING OCCASIONAL FOOT PAIN IN 20-30 MINUTE STRETCHES. DR. SAYS SURGERY IS LAST OPTION BECAUSE WIRES AND SCREWS REMAIN IN FOOT FOR LIFE. FOUND CONFLICTING REPORTS THAT SAY REMOVAL OF FIXATION DEVICES. I JUST WANT THIS TO HEAL. WILL IT EVER? HE TOLD ME TO THINK OF THE PAIN AS HAVING ARTHRITIS. ANY SUGGESTIONS?

 
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Old 06-06-2002, 02:12 PM   #2
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mar55 HB User
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Dear Jim,
I also have a lisfranc dislocation that was not diagnosed for over 3 months. It happened at work, in 1999, when I tripped on a rug!! I wore a cast for 4 weeks because of a metatarasal break. I complained that things were not right, so they sent me to physical therapy for 6 weeks. Still complaining, I finally went to Medical College of Ohio and was diagnosed at that time. I did have surgery. Was casted, non weight bearing for 8 weeks, with pins sticking out of a "window" cut in my cast. Four weeks later,after the cast, the pins were removed.
Life is different. I tire easily and cannot do what I used to do. It is very difficult to walk long distances or periods of time. It is much better than before surgery, but will never be like it used to be.
I was told by the doctors that I would have to wear lace up shoes the rest of my life. I do that, and it seems to help. The best ones I've found are Reebok DMX tennis shoes. They have a good arch (which is the most important thing) and seem to help me the most. Good luck to you. You didn't mention your age, but if it is like mine, you will have it the rest of your life.
Marilyn

[This message has been edited by mar55 (edited 06-06-2002).]

 
Old 06-28-2002, 04:45 PM   #3
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congaman HB User
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I am in my fifth week post-surgery after a Lisfranc injury playing softball. I was running - no twists, turns or trauma otherwise. Still casted - crutches - wheelchair. Pain intensity is minimal. Dull ache. Frightened at the thought of bearing weight on injured site. Curious about others' experiences with uncomplicated LF injury. I was diagnosed on the 2nd day and had surgery within on week. Screws. They will be taken out in several weeks. Any comments?? Reassurance??

 
Old 07-17-2002, 08:35 PM   #4
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Dennis Beere HB User
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Hi, just reading the few messages on Lisfranc Injuries.

March 18 2002 I had 1200 pounds of material on a table which collapsed traping my left foot and ankle.

Surgeon explained that there was a significant rotatory component to the injury.

X-rays within normal limit, showing a widening of the list frank joint without a frank subluxation or dislocation.

This represents quite a significant SOFT TISSUE INJURY.

Maximal tender in the interval between the lst and 2nd metatarsals.

May take months before it has settled and it may be up to a year before I have plateaued in terms of recovery however, he does not think I will obtain complete recovery and expects partial recovery at best.

Physio continues daily. Although the swelling has improved the pain and discomfort continues.

I continue to wear an air-support cast. When the cast is off there continues to be alot of discomfort along the dorsal aspect of the foot in the area of the ligamentous injury.

Was wondering if anyone has experience the same type of soft tissue injury without a fracture and/or is my injury similiar to those who have actually sustained a fracture and ligament tear injury.

Thank you.

As Personal email would be most welcome.

dbeere@primus.ca

[This message has been edited by Dennis Beere (edited 07-17-2002).]

[This message has been edited by Dennis Beere (edited 07-17-2002).]

 
Old 07-19-2002, 06:19 AM   #5
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congaman HB User
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1200 lbs!!! I wonder if you shouldn't have a second opinion about surgery. I was told that surgical correction is really the best way to optimize healing in these circumstances. I am not a foot doctor and of course defer to your doctor - BUT - it sounds like you may be (or have may have been) a candidate for screw fixation of the LF joint. Was that ever discussed?

 
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