Published online Feb 18, 2019. doi: 10.5312/wjo.v10.i2.115
Peer-review started: November 27, 2018
First decision: December 30, 2018
Revised: January 14, 2019
Accepted: January 26, 2019
Article in press: January 26, 2019
Published online: February 18, 2019
Lisfranc injuries are rare and can be easily missed. This injury is extremely rare in children, with limited published data. Different treatment options have been described; one of the options in adults is the “mini” TightRope™ Syndesmosis Device that provides non-rigid fixation with impressive results. However, there is no reference regarding the use of this device in children.
We describe the case of an 11-year-old girl who sustained a Lisfranc injury of her right foot that was initially missed in the Accident and Emergency department of her local hospital. This case was a ligamentous/periosteal sleeve avulsion type of Lisfranc injury and a percutaneous technique using the “mini” TightRope™ syndesmosis device was used. Clinical and radiological results were excellent at final follow up.
The “mini” TightRope™ syndesmosis device is a promising method of fixation for children with certain Lisfranc injuries. This method has many advantages, including the non-rigid type of the fixation and no need for subsequent metalwork removal.
Core tip: We describe the case of an 11-year-old girl who sustained a ligamentous/periosteal sleeve avulsion type of Lisfranc injury of her right foot that was initially missed in a local Accident and Emergency department. The “mini” TightRope™ syndesmosis device, can be used safely and effectively in children with certain Lisfranc injuries, based on experience in the adult literature.