Lisfranc Injury

Lisfranc Injury Treatment in Fort Worth & Burleson, TX

Lisfranc injuries involve damage to the ligaments and joints in the midfoot. These injuries are often more serious than a typical sprain and can lead to long-term pain and instability if not properly treated.

Dr. Dalton Ryba, DPM is a dual board-certified podiatrist and foot & ankle surgeon providing comprehensive treatment for Lisfranc injuries in Fort Worth and Burleson, Texas. Early diagnosis and appropriate management are critical to achieving the best outcomes.

What is a Lisfranc Injury?

The Lisfranc joint complex connects the forefoot to the midfoot and plays a critical role in stabilizing the arch during walking.

A Lisfranc injury occurs when these joints or supporting ligaments are disrupted.

Injuries can range from:

Mild ligament sprains
Partial tears
Complete ligament rupture
Fracture-dislocations of the midfoot

Even subtle injuries can lead to long-term problems if missed.

What Are The Common Symptoms?

Pain in the middle of the foot
Swelling
Difficulty bearing weight
Bruising on the bottom of the foot
Pain with push-off while walking
Midfoot bruising is a key sign that should not be ignored.

What Are The Causes And Risk Factors?

Lisfranc injuries may occur from:

Twisting injuries (sports-related)
Falls
Direct trauma
Motor vehicle accidents

These injuries are commonly mistaken for simple sprains, which can delay proper treatment.

What Are The Treatment Options?

Non-surgical treatment may be appropriate if the joints remain stable.

Strict non-weightbearing
Immobilization in a cast or boot
Close follow-up with imaging

Even small amounts of instability can worsen over time if not properly managed.

Surgery is recommended when instability or displacement is present.

Common surgical options include:

Open Reduction and Internal Fixation (ORIF)
- Realignment of the joints
- Stabilization with screws or plates
Primary Fusion
- Used in more severe injuries
- Eliminates damaged joint motion
- May reduce long-term arthritis risk

Procedure selection depends on the severity of injury, cartilage damage, and patient activity level.

There is no single approach appropriate for every Lisfranc injury.

What Is The Recovery Timeline?

Recovery typically involves:

Period of non-weightbearing
Gradual return to protected walking
Physical therapy

Full recovery may take several months depending on severity.

Early treatment significantly improves long-term outcomes.

When To See A Specialist?

Persistent midfoot pain after injury
Difficulty bearing weight
Bruising on the bottom of the foot
Pain that does not improve after a “sprain”
Lisfranc injuries are frequently missed early — prompt evaluation is important.

Dr. Ryba sees patients in Fort Worth and Burleson, TX through
Lonestar Orthopaedic and Spine Specialists, PLLC.

When scheduling, please request an appointment specifically with Dr. Dalton Ryba, DPM.