Lisfranc- und Chopart-Luxationsfrakturen

Injuries of the Chopart and Lisfranc joint lines are severe injuries of the foot which can cause severe alteration of the entire foot function. Even today these injuries are frequently missed because they often occur in patients with multiple traumatic injuries, but low energy trauma to the foot might also lead to difficulties in diagnosis due to a heterogeneous clinical appearance. Therefore an important aspect is the exact radiological diagnostics especially even if there is a minimal clinical suspicion. Standard plain x-rays in three planes and a CT examination are essential. The goal of the treatment is an anatomical reconstruction of the joints and the treatment of concomitant ligamentous injuries, which can only be achieved with open reduction and adequate osteosynthesis or temporary arthrodesis. Using an appropriate and consistent therapy a satisfactory outcome for the patient can be achieved even with serious injuries.