Medical Procedures, Tests, Care and Management
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LisFranc Ligament Repair (Suture Button Technique)

Overview

This surgical procedure stabilizes the bones of your foot. It repairs the damage caused by an injury to the LisFranc ligament. This important ligament connects the medial cuneiform to the second metatarsal. It provides support for the midfoot region.

Preparation

In preparation for the procedure, you are given general anesthesia. The surgeon makes two incisions in your skin to expose the injured joint. A clamp is placed on the bones to realign them. The clamp will hold them in place during the repair.

Inserting the Fixation Device

With the help of a video x-ray device called a fluoroscope, the surgeon drills a tunnel. It passes through the medial cuneiform and all the way through the base of the second metatarsal. The surgeon passes one end of the fixation device through this tunnel. This device is a strong cord with metal buttons on both ends. When the cord is pulled tight, the buttons anchor themselves against the bones. The surgeon ties a knot to prevent the cord from slipping. The ends are trimmed. Your surgeon may also add an additional anchor to secure the medial cuneiform to the middle cuneiform. The cords stabilize the bones, keeping them positioned properly so the foot can heal.

End of Procedure and Aftercare

When the procedure is complete, the incisions are closed. Your foot is bandaged. You will be monitored for a brief time before you are allowed to go home. You will wear a splint for a few weeks after the surgery. As your foot heals, you may wear a walking boot. Your doctor will give you specific instructions to aid your recovery.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.