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Panchbhavi VK - The currently accepted method of stabilization of an extensive Lisfranc injury is the use of screws across tarsometatarsal and intercuneiform joints of the medial and middle columns and K wires in the lateral column of the foot. Screws traversing articular surfaces may contribute to the articular damage and post-traumatic arthritis in the midfoot. More recently, therefore, plates with screws that do not traverse articular surfaces have been used to minimize the risk.

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