Functional outcomes and complications following surgical management of neglected Lisfranc injuries: A systematic review and meta-analysis.

Authors

Siddhartha Sharma, Chander Sen, Amit Kumar, Shubham Ahluwalia, Sameer Aggarwal, Stefan Rammelt, Mandeep Dhillon

Published in

Foot (Edinburgh, Scotland). Volume 68. Pages 102283. Jul 14, 2026. Epub Jul 14, 2026.

Abstract

Lisfranc injuries are frequently overlooked or underestimated. Treatment of neglected injuries is challenging, and the optimal surgical strategy in delayed presentations remains unclear.
A PRISMA-compliant systematic review and meta-analysis were performed. Observational studies reporting surgical outcomes of corrective surgery for neglected Lisfranc injuries were included. Random-effects meta-analyses were conducted for AOFAS scores, complication rates, and return-to-work proportions. Meta-regression evaluated the influence of injury energy, surgical procedure, and treatment delay.
Ten studies with 262 cases were included. Surgery was associated with a significant improvement in AOFAS scores. Patients with high-energy injuries demonstrated lower preoperative scores but greater absolute postoperative improvement, while postoperative scores remained comparable. The choice of surgical procedure and delay were not associated with functional improvement. The pooled complication rate was 34%, with higher rates observed in high-energy injuries and with longer delays.
In neglected Lisfranc injuries, functional recovery reflects baseline severity rather than timing alone. Surgical decision-making should prioritize joint viability and reducibility over delay.

PMID:
42462327
Bibliographic data and abstract were imported from PubMed on 17 Jul 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.