# Multidisciplinary Management and Rehabilitation of Severe Crush Injury Resulting in Lisfranc Fracture: A Case Report

## TL;DR

A 58-year-old man with a severe Lisfranc fracture from a car accident was successfully treated with surgery and rehabilitation, showing improved joint function and recovery.

## Contribution

This case report highlights the effectiveness of a multidisciplinary approach in managing severe Lisfranc fractures through timely surgical and rehabilitative interventions.

## Key findings

- Surgical K-wire fixation followed by physical therapy improved joint function and muscle strength.
- Multidisciplinary care led to reduced edema, muscle atrophy, and joint stiffness.
- Outcome measures showed significant physical recovery and stress reduction.

## Abstract

A 58-year-old male patient was seriously injured in his left foot as a result of a passenger car accident, resulting in a Lisfranc fracture and complications on his left side. The initial injury resulted in a 20-cm laceration, severe pain, and severe swelling. After primary care at the government hospital, the patient was referred to Acharya Vinoba Bhave Rural Hospital (AVBRH) for further treatment. Clinical examination revealed infection, Lisfranc ligament rupture, bone exposure, restriction of movement, and muscle strength. His fracture was managed with Kirschner wire(K-wire) fixation surgically. A holistic physical management plan includes immobilization and a comprehensive medical program to reduce edema, muscle atrophy, and joint stiffness. Post physiotherapy showed significant improvements in joint function, muscle strength, and functional scores after rehabilitation. Outcome measures such as the Lower Extremity Functional Scale, Olerud-Molander Ankle Score, and Patient-Reported Outcomes Measurement Information System-29 are related to physical recovery, stress reduction, and healing as a whole-life treatment. These data highlight the importance of a collaborative, multidisciplinary approach in the effective management of Lisfranc fracture injuries and confirm the advantages of timely intervention and physical therapy for the benefit of these patients.