Lisfranc Fractures-Dislocation: 5-Year Clinical and Instrumental Evaluation of Surgically Treated Patients

Background: Lisfranc injuries pose diagnostic and therapeutic challenges, with outcomes influenced by injury type and treatment approach. Objectives: To evaluate the 5-year outcomes of patients treated with Kirschner wire fixation and compare findings with the literature. Methods: This retrospective study included 24 patients treated between May 2019 and May 2024. Injuries were classified using Myerson and Vertullo systems, and outcomes were assessed with radiographs, baropodometric analysis, and AOFAS midfoot scores. Results: The mean AOFAS score was 85.2 ± 5.77. Better outcomes were observed in isolated dislocations (p = 0.0371) and Stage II injuries (p = 0.00070). Osteoarthritis occurred only in 22.5% of cases, but reduction was well-maintained radiographically. Baropodometric analysis revealed comparable pressure distributions between treated and healthy feet. No infections or reoperations were reported. Conclusions: Kirschner wire fixation provides effective reduction and high patient satisfaction for Lisfranc injuries. However, more severe injuries show less favorable outcomes, highlighting the need for tailored surgical strategies.