Surgical methods in dealing with sensory neuritis as a complication of Lisfranc fracture dislocation

Lisfranc tarsometatarsal fracture-dislocations are usually high-energy injuries causing catastrophic injury to both the bone and the soft tissues of the midfoot. Meticulous restoration of the anatomy with open reduction and internal fixation is the gold standard for treatment; however, even with excellent radiographic results, soft-tissue pathology, particularly sensory neuritis, can lead to a poor functional result. The following article evaluates the incidence of sensory dysfunction associated with these fractures and describes the pathoanatomy, diagnosis, and treatment of these injuries. With accurate diagnosis, the treatment of sensory neuritis can lead to a more satisfying functional result.