Fixation In-situ vs Removal for Midfoot Lisfranc Injuries

Inclusion Criteria: * 18 years of age or older and skeletally mature * Subject has Lisfranc injury that was previously treated with screws and/or plate fixation within 21 days of initial injury * Subject must be enrolled in study within 6 weeks (+/-2 weeks) from time of initial fixation operation * The patient must be medically fit for anaesthesia * Subject is willing and able to provide written informed consent for trial participation * Subject is willing and able to comply with the study protocol including return for all follow-up evaluations Exclusion Criteria: * Subject has a significant pre-existing foot injury or deformity * There has been loss of fixation or reduction prior to enrollment * Subject was treated with a primary tarsometatarsal joint fusion * Subject has a delay in initial treatment greater than 21 days from time of injury * Subject has an active infection in the area of surgical approach * Subject has concomitant injury which, in the opinion of the attending surgeon, is likely to impair rehabilitation or prolong fracture healing time * Subject has a history of rheumatoid arthritis, Diabetes, metabolic bone disease (including osteoporosis actively being treated), active malignancy, pathologic fracture or other pre-existing pathologic condition affecting the Lisfranc complex * Subject has a high risk of death from surgery (ASA physical status Class V) * Subject is likely unable to maintain follow-up * Subject has cognitive impairment or language difficult…