Endobutton Combined With Medial Plate Fixation for the Treatment of Lisfranc Injuries

BACKGROUND: The purpose of this study was to demonstrate the clinical efficacy of the Endobutton in combination with medial plate fixation for the treatment of Lisfranc injuries. MATERIALS AND METHODS: We analyzed clinical data from 30 patients with Lisfranc injuries between February 2021 and October 2024 to assess foot function using Visual Analog Scale (VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) midfoot scale score, plantar pressure assessment, and weight-bearing imaging. We evaluated patients' postoperative pain and foot function, examined the appearance of the foot for any obvious deformities, assessed plan-tar pressure distribution, and conducted weight-bearing imaging to evaluate the gaps in patients' joints. RESULTS: > .05). CONCLUSION: For low-energy and crush Lisfranc injuries, Endobutton combined with medial plate fixation yielded favorable early clinical outcomes and reliable short-term surgical results in this single-center retrospective study. Although the clinical benefits of this combined technique are promising, its efficacy compared with conventional fixation methods requires further validation in well-designed prospective controlled trials.