Lisfranc Injury Recovery Timeline: Week by Week

Lisfranc Injury Recovery Timeline: Week-by-Week Guide from a Foot and Ankle Surgeon

By Sarang Desai, DO

Fellowship-Trained Orthopedic Foot and Ankle Surgeon | Sports Medicine Specialist

McKinney and Flower Mound, Texas | Serving the Dallas-Fort Worth Metroplex

---

The first question almost every patient asks me after a Lisfranc injury is some version of: "When will I be normal again?"

It's the right question. It's also the one most patients get a vague answer to. They hear "a few months" and leave without any real sense of what the next six months of their life will look like — when they can drive, when they can shower normally, when they can go back to work, when they can run.

This article is the answer I give in clinic, written out week by week.

I'm a fellowship-trained orthopedic foot and ankle surgeon practicing in McKinney and Flower Mound, and I serve as a team physician for professional athletes. I've walked a lot of people through this recovery — high school soccer players, weekend pickleball warriors, construction workers, and professional athletes. The timeline below reflects both the published evidence and what actually happens in real life.

If you haven't been formally diagnosed yet, start with how Lisfranc injuries are diagnosed. If you want the full picture on the operation itself, see my complete guide to Lisfranc injury surgery.

---

Quick Answer: How Long Does Lisfranc Recovery Take?

Most people are non-weight-bearing for the first 6 weeks, walking in a boot by 8 to 12 weeks, back in normal shoes around 3 to 4 months, and back to sports at 4 to 6 months. Full recovery — meaning the foot genuinely stops reminding you it was injured — takes 9 to 12 months, and sometimes longer.

Here's the compressed version:

Milestone	Typical Timing	Notes
Surgery performed	Within 2-3 weeks of injury	Swelling must settle first
Non-weight-bearing	Weeks 0-6	The single most important phase
Start partial weight-bearing	Weeks 6-8	Earlier for some low-energy injuries
Full weight-bearing in boot	Weeks 8-12	Unanimous expert consensus for unstable ligament injuries [1]
Transition to normal shoe	Weeks 12-16	Often with an orthotic or carbon fiber plate
Driving (right foot)	~10-12 weeks	Must be out of boot and reaction time normal
Desk work	1-2 weeks	With elevation and accommodation
Physical/manual labor	4-6 months	Highly job-dependent
Running	4-5 months	Straight-line first
Return to sport	4-6 months	Unanimous consensus among expert surgeons [1]
Plateau of improvement	9-12 months	PROMIS scores keep improving out to 1 year [2]

One critical caveat before going further: this timeline is for surgically treated, unstable Lisfranc injuries. If your injury is stable and being treated without surgery, the timeline is different — and usually faster. I'll cover that separately below.

---

Why This Injury Takes So Long

Patients are often surprised that a midfoot injury takes longer to recover from than many ankle fractures. There are three reasons.

First, the Lisfranc complex is a keystone. The base of the second metatarsal is wedged into a recess between the cuneiforms like the keystone of an arch. Every step you take drives force through that junction. It isn't a joint designed for motion — it's a joint designed for stability. When that stability is lost, the entire arch of the foot is compromised.

Second, ligaments heal slowly. Bone heals with predictable biology in 6 to 12 weeks. Ligament heals with scar tissue that remodels over many months. Purely ligamentous Lisfranc injuries — the type most common in athletes — are actually the trickier ones because there's no fracture line to watch heal on X-ray.[3]

Third, we're protecting a surgical reduction. The whole point of the operation is to restore anatomic alignment. Loading the foot too early can cause that alignment to shift. And the data are unambiguous that non-anatomic reduction is a risk factor for post-traumatic arthritis down the road.[4] The first six weeks of restraint buy you decades of function.

I tell patients: the first six weeks are the tax you pay for the next thirty years.

---

Phase 1: Weeks 0-2 — Protection and Swelling Control

Goals: Protect the repair. Control swelling. Manage pain. Prevent blood clots.

Weight-bearing status: Strictly none. Zero. Not "a little." Not "just to the bathroom."

What's Actually Happening

You're in a splint or cast, foot elevated, and mostly miserable. This is the hardest stretch emotionally — the pain is real, you're dependent on other people, and progress is invisible.

What You'll Be Doing

- Elevation above heart level for the majority of each day. This isn't optional advice; swelling is the primary driver of wound complications and delayed healing. Deep infection rates after Lisfranc fixation run around 8% in trauma populations.[5]

- Knee scooter or crutches. I strongly prefer a knee scooter for most patients — it's more stable, less fatiguing, and reduces the temptation to cheat.

- Toe wiggling and ankle pumps as allowed. Keeps circulation moving.

- Hip and knee exercises on the operated side, plus full training on the uninjured leg. The atrophy that happens in these six weeks is significant, and preventing it is easier than reversing it.

- DVT prophylaxis as directed. Immobilization plus lower extremity surgery is a blood clot risk.

First Post-Op Visit

Typically around 10 to 14 days. Sutures come out, wounds are checked, and you transition from splint to cast or a removable boot depending on your reliability and the injury pattern.

Real-World Advice

Get a shower chair and a waterproof cast cover before surgery, not after. Set up a station near wherever you'll spend the day — charger, water, meds, snacks — so you're not scooting around unnecessarily. And arrange help for the first week. Patients who try to tough this out alone are the ones who fall.

---

Phase 2: Weeks 2-6 — The Long Non-Weight-Bearing Stretch

Goals: Maintain protection. Preserve fitness. Prevent stiffness above and below the injury.

Weight-bearing status: Still none.

This is where discipline matters most. The pain is largely gone by week 3 or 4, and the foot feels deceptively fine. Feeling good is not the same as being healed. This is the phase where patients cheat, and cheating here is how a beautifully reduced Lisfranc loses its reduction.

What You Can Start Doing

- Gentle ankle range of motion out of the boot (if permitted) — dorsiflexion, plantarflexion, and careful inversion/eversion. Not through the midfoot.

- Seated and supine core work. Planks off the good leg, upper body strength training, anything that doesn't load the foot.

- Upper body cardio. Arm ergometer, seated rowing modifications. Athletes should be doing this near-daily to preserve conditioning.

- Uninjured leg training. There's a well-described cross-education effect where training one limb helps preserve strength in the immobilized one.

For athletes, this is also the phase where nutrition matters. I cover what actually has evidence behind it in my guide to vitamins and supplements for tendon and bone healing, and I address the questions I get constantly about injectables in the real science behind peptides and healing orthopedic injuries.

Imaging Checkpoint

Around week 6 I typically obtain X-rays — often weight-bearing views at the transition point — to confirm the reduction has held before allowing load. This is the same principle that makes weight-bearing imaging so important for the initial diagnosis: the foot tells the truth under load.

---

Phase 3: Weeks 6-8 — First Steps

Goals: Begin controlled loading. Restore normal gait mechanics in the boot.

Weight-bearing status: Progressive partial weight-bearing, in a boot.

What Progression Looks Like

Most patients start at roughly 25% body weight and increase weekly. A practical method: stand on a bathroom scale with the operated foot and learn what 25, 50, and 75 pounds actually feels like. Patients consistently overestimate how much they're loading.

The published data support this window. In the systematic review accompanying the 2024 International Foot and Ankle Sports Consensus, athletes with ligamentous Lisfranc injuries began weight-bearing at an average of 3.5 weeks, and those with bony injuries began partial weight-bearing at an average of 4.5 weeks.[1] Some low-energy injuries treated with percutaneous screw fixation have been advanced even faster — one series began weight-bearing as tolerated at 3 weeks with excellent results and average return to work at 7 weeks.[6]

I want to be direct about this: I'm generally more conservative than the fastest published protocols. The literature reporting three-week weight-bearing describes carefully selected low-energy injuries with anatomic percutaneous reduction.[6] A high-energy midfoot fracture-dislocation is a different animal. The timeline gets individualized based on injury pattern, fixation construct, bone quality, and — honestly — how much I trust the patient to follow instructions.

Physical Therapy Begins in Earnest

- Gait training in the boot with crutches, then one crutch, then none

- Ankle range of motion, all planes

- Intrinsic foot strengthening (toe curls, towel scrunches)

- Calf and peroneal isometrics progressing to bands

- Scar mobilization once wounds are fully healed

What It Feels Like

Stiff, foreign, and swollen. The foot swells whenever it's down and shrinks when elevated — this pattern persists for months and is completely normal. Most patients also report that the foot feels "dead" or numb across the top. Sensory disturbance in the deep peroneal nerve distribution is a recognized issue after this surgery, reported in 13.4% of patients in a large multicenter series.[7]

---

Phase 4: Weeks 8-12 — Full Weight-Bearing

Goals: Full weight-bearing without assistive devices. Rebuild strength. Restore motion.

This is the milestone with the strongest expert agreement behind it. The 2024 International Foot and Ankle Sports Consensus — a modified Delphi process involving 32 international foot and ankle surgeons — reached unanimous agreement that athletes with unstable ligamentous injuries can expect to return to full weight-bearing 8 to 12 weeks postoperatively.[1]

The Big Wins in This Phase

- Walking unassisted in the boot

- Stationary bike (starting in the boot, progressing out of it)

- Pool walking and deep-water running once wounds are fully sealed

- Double-leg calf raises, progressing toward single-leg

- Balance and proprioception work

Hardware: The Question Everyone Asks

If a screw crosses the joint, it generally needs to come out — typically somewhere between 3 and 6 months. In the elite soccer and rugby series from the English Premier and Championship leagues, hardware was removed at 16 weeks postoperatively as part of a standardized protocol.[8]

Hardware removal is a small procedure with a short recovery — usually back to walking within days to a couple of weeks. But it is worth knowing that symptomatic implant removal is the most common secondary procedure after this surgery, occurring in roughly 19% to 26% of patients across large series.[5][9]

If you had a suture button or flexible fixation construct instead, removal is often unnecessary. That's one of the theoretical advantages of these newer techniques, though longer-term comparative data are still being gathered.[10]

Objective Numbers Behind the Curve

There's helpful validation for what patients experience here. A study of 182 patients tracked PROMIS physical function scores after Lisfranc ORIF and found the single largest jump in function occurs between weeks 6 and 12.[2] That matches exactly what patients describe — the feeling that things finally started moving.

---

Phase 5: Months 3-4 — Out of the Boot

Goals: Normal shoes. Normal walking. Begin impact.

Weight-bearing status: Full, in a supportive shoe.

The Transition Out of the Boot

This is rarely a single-day event. Most patients wean gradually — a few hours in a shoe, then a half day, then full days — over one to two weeks. Expect a temporary setback in swelling and soreness. That's the foot re-learning to absorb load without the boot's rigid rocker sole doing the work.

I frequently prescribe a carbon fiber footplate or a rigid full-length orthotic during this transition. It limits midfoot flexion and dramatically reduces the ache patients get at the end of the day. Many of my athletes keep using one in their cleats for a full season after returning.

What Progression Looks Like

- Walking program: increasing distance on flat, even surfaces

- Elliptical and stair climber

- Single-leg calf raises to fatigue (target: symmetry with the other side)

- Resistance work through the full kinetic chain

- Balance progressions — single leg, eyes closed, unstable surface

Return to Work

- Desk job: most patients return part-time by week 1-2 with elevation accommodations, full-time by week 4-6

- Standing job (teacher, nurse, retail): typically 3-4 months

- Manual labor, ladders, uneven ground: typically 4-6 months

- Driving: if it's your right foot, usually 10-12 weeks — you must be out of the boot and able to move reliably between pedals

The percutaneous, low-energy series I mentioned earlier reported average return to work at 7 weeks.[6] That's the fast end of the spectrum, in selected patients with sedentary jobs.

---

Phase 6: Months 4-6 — Return to Sport

Goals: Running, cutting, jumping, sport-specific work, and eventual clearance.

The 2024 consensus panel reached unanimous agreement that athletes can expect to return to their sport 4 to 6 months postoperatively.[1] In the elite soccer and rugby cohort, mean return to training was 20.1 weeks and mean return to full competition was 25.3 weeks — with rugby players taking significantly longer than soccer players (27.8 vs. 24.1 weeks) and bony injuries taking longer than ligamentous ones (26.9 vs. 22.5 weeks).[8]

The Running Progression

Running typically starts around month 4, and I sequence it deliberately:

1. Anti-gravity treadmill or pool running (if available)

2. Walk-jog intervals on a treadmill

3. Continuous straight-line jogging

4. Increasing speed

5. Curves and gradual direction change

6. Cutting, pivoting, and deceleration

7. Sport-specific drills

8. Non-contact practice

9. Full practice

10. Competition

Each step should be pain-free and swelling-free the following morning before advancing. Next-day swelling is the single best feedback signal in this recovery.

Sport-by-Sport Expectations

Sport	Typical Return	Why
Golf	4-5 months	Weight transfer through the lead foot's midfoot is the limiting factor
Swimming / cycling	8-12 weeks	Low-impact; often the first activities back
Running (recreational)	4-5 months	Straight-line, flat surfaces first
Pickleball / tennis	5-6 months	Lateral load and rapid deceleration through the midfoot
Basketball	5-6 months	Jumping, landing, and hard cuts
Soccer	5-6 months	Kicking loads the midfoot directly; ~24 weeks in elite players [8]
Football	5-7 months	Position-dependent; linemen load the midfoot heavily in three-point stance
Rugby	6-7 months	Longest in the elite data at ~28 weeks [8]
Volleyball	5-6 months	Repetitive jump-landing cycles
CrossFit / Olympic lifting	5-7 months	Heavy axial load through the midfoot; box jumps last
Dance / gymnastics	6-9 months	Extreme plantarflexion and pointe work are the hardest demands to restore
Baseball	4-6 months	Base running and push-off; catchers take longer

These are typical ranges, not promises. Your surgeon's clearance should be based on criteria, not the calendar — full painless range of motion, symmetric single-leg calf raise endurance, symmetric hop testing, no swelling after activity, and confidence on the field.

The Honest Numbers on Return to Sport

A meta-analysis of Lisfranc outcomes found that 93% to 94% of athletes returned to some level of sport, with 74% to 88% returning to their pre-injury level depending on the treatment performed.[11] In the elite soccer and rugby series, 16 of 17 professionals returned to full competition.[8]

Those are genuinely good numbers. But note the gap between "returned to sport" and "returned to pre-injury level." That gap is real, and it's why the quality of the initial reduction and the discipline of the rehab matter so much.

---

Phase 7: Months 6-12 — The Long Tail

Here's what nobody tells patients: you are not done at six months.

The PROMIS recovery curve study is the most useful data I know of for setting this expectation. Physical function scores continued improving significantly between 24 and 48 weeks after surgery, and patients could expect improvement in physical function out to a full year post-op.[2]

What patients typically still notice at 6 months:

- Swelling after long days or hard activity

- Stiffness in the morning or after sitting

- Weather sensitivity

- A patch of numbness on the top of the foot

- Awareness of hardware

Most of this continues to fade through months 6 to 12. Some of it — particularly the numb patch and mild weather sensitivity — may be permanent, and that's a reasonable trade for a stable, well-aligned foot.

---

The Nonoperative Timeline: Stable Injuries

Not every Lisfranc injury needs surgery. If weight-bearing X-rays show no displacement and MRI shows the Lisfranc ligament is intact, the injury may be genuinely stable — and the 2024 consensus panel agreed unanimously that these can be managed nonoperatively with close monitoring.[3]

The nonoperative timeline runs faster:

- Weeks 0-6: Immobilization and non-weight-bearing. The Bone & Joint Journal review notes that stable injuries are most reliably treated with immobilization and non-weight-bearing for six weeks.[10]

- Weeks 6-8: Progressive weight-bearing in a boot

- Weeks 8-10: Out of the boot, into a supportive shoe with an orthotic

- Weeks 6-10: Return to sport for many athletes[3]

In the consensus systematic review, athletes with stable ligamentous injuries returned to sport at an average of 2.8 months, compared with 4.5 months for bony injuries.[3]

The critical requirement is surveillance. A "stable" injury is only stable until proven otherwise. Repeat weight-bearing X-rays during the immobilization period are mandatory. If the joint displaces, the plan changes to surgery — and delayed surgery has worse outcomes than early surgery.

---

Common Mistakes That Slow Recovery Down

Walking on it early. The most common and most consequential. Loss of reduction means either a revision operation or a lifetime with a malaligned midfoot.

Stopping physical therapy when insurance runs out. Months 3 through 6 are where function is actually rebuilt. A home program with periodic check-ins is far better than nothing.

Comparing yourself to an ankle sprain. Patients who've had an ankle sprain expect a similar arc. It isn't remotely comparable.

Going straight from boot to running. There's a mandatory walking phase in between. Skipping it produces stress reactions in the metatarsals — a mechanism I discuss in my guide to stress fractures of the foot and ankle.

Ignoring the other leg. Six weeks of one-legged living creates real asymmetry. Athletes who neglect the good leg come back with a new problem on the opposite side.

Smoking. History of smoking was identified as an independent risk factor for developing post-traumatic osteoarthritis after Lisfranc surgery.[4] If there was ever a six-month window to quit, this is it.

Panicking at month 4. Almost everyone hits a stretch around months 3 to 5 where they feel stuck. The curve is real, but it's not linear.

---

Complications: What Can Extend the Timeline

Being straightforward about this is part of informed consent.

- Post-traumatic arthritis is the most common long-term issue. At a mean of nearly 11 years after surgery, 72% of patients had radiographic arthritis and 54% had symptomatic arthritis. In a multicenter series of joint-preserving ORIF, post-traumatic arthritis occurred in 29.7%. Risk factors include non-anatomic reduction, more severe injury classification, and smoking.[4][7]

- Symptomatic hardware requiring removal: roughly 19% to 26%.[5][9]

- Deep infection: approximately 8% in urban trauma populations, with open injuries carrying substantially higher risk.[5][7]

- Nerve symptoms: sensory impairment reported in 13.4%.[7]

- Nonunion: uncommon at around 3% in joint-preserving fixation series.[9]

- Secondary fusion: approximately 5% eventually require conversion to arthrodesis.[9]

Two factors independently predict complications: open fractures and high-energy injuries.[7] A low-energy sports Lisfranc has a meaningfully better outlook than a crush injury from a motor vehicle collision, and your timeline should be framed accordingly.

Worth noting: some evidence suggests primary arthrodesis produces lower rates of post-traumatic arthritis (2.8% vs. 17.3%) and fewer reoperations than ORIF for certain injury patterns.[12] That said, the long-term effects of fusion in young, active patients are not fully known, and other large series found no difference in complication rates between the two approaches.[9] This is genuinely a live debate among foot and ankle surgeons, and it's a conversation worth having with yours.

If arthritis does develop years later, the treatment principles overlap heavily with what I outlined in my breakdown of the 2026 AAOS ankle arthritis guidelines — bracing and orthotics first, targeted injections second, fusion when function is genuinely limited.

---

Frequently Asked Questions

How long am I on crutches after a Lisfranc injury?

Typically 6 to 8 weeks of non-weight-bearing, then a gradual transition. Most patients are off crutches entirely between weeks 8 and 12.

When can I drive?

Left foot injury with an automatic transmission: often within 1 to 2 weeks once off narcotics. Right foot: usually 10 to 12 weeks — you must be out of the boot with normal reaction time.

When can I shower normally?

Once the incisions are fully sealed, typically around 2 to 3 weeks. Until then, a waterproof cover and a shower chair.

Will I set off airport metal detectors?

Occasionally with larger plate constructs, rarely with screws alone.

Do the screws have to come out?

If a screw crosses a joint that's meant to move, generally yes — around 3 to 6 months. Suture button constructs often don't require removal.[10]

Is hardware removal a big surgery?

No. Usually outpatient, short recovery, walking within days to a couple of weeks.

Why does my foot still swell at 4 months?

Because that's normal. Swelling that fluctuates with activity and elevation typically persists 6 to 12 months.

Will I need special shoes forever?

Most patients don't. Many benefit from a supportive shoe with a firm sole and an orthotic for the first year. Athletes often keep a carbon plate in their cleats longer.

Can I get arthritis from this even with perfect surgery?

Yes. Radiographic arthritis is common long-term, though it's symptomatic in roughly half of those cases.[4] Anatomic reduction is the biggest modifiable factor.[4]

Will I be able to run again?

The large majority of patients do. Meta-analysis data show 93-94% of athletes return to sport at some level.[11]

Will I be as fast as I was?

Most recreational athletes get back to baseline. At the elite level, 74% to 88% return to pre-injury level depending on treatment.[11]

Can I speed up my recovery?

You can optimize it — nutrition, sleep, not smoking, PT compliance, protecting the good leg. You can't compress ligament biology.

Should I use a bone stimulator?

Sometimes, particularly with fusions, slow healing, or risk factors like smoking or diabetes. Discuss with your surgeon.

Is it normal for the top of my foot to be numb?

Yes — the deep peroneal nerve runs directly across this surgical field. Reported in about 13% of patients.[7] Usually improves over months; occasionally permanent.

When can I go back to the gym?

Upper body and seated core within a couple of weeks. Lower body loading progresses from month 3 onward. Heavy squats, deadlifts from the floor, and box jumps are typically last, around month 5 to 6.

What if my injury was missed for months?

Chronic Lisfranc injuries are harder to treat and more often require fusion rather than joint-preserving fixation. Outcomes are still good, but expectations shift. This is exactly why accurate early imaging matters so much.

---

When to Call Your Surgeon

Contact your surgeon promptly for:

- Increasing pain rather than decreasing pain

- Fever, drainage, or spreading redness around the incisions

- Calf pain, especially with swelling — possible blood clot

- A sudden pop, shift, or change in the shape of the foot

- New numbness, tingling, or color change in the toes

- A fall or accidental full weight-bearing during the protected phase

---

The Bottom Line

A Lisfranc injury is a six-to-twelve-month project, not a six-week one. The patients who do best are the ones who understand that upfront, stay strictly non-weight-bearing when told to, commit to rehab through the boring middle phase, and let criteria rather than the calendar drive their return to sport.

Done correctly, over 90% of athletes get back on the field.[1][11] That outcome is largely determined in the first six weeks — a period during which your only job is to do nothing.

---

About the Author

Dr. Sarang Desai is a fellowship-trained orthopedic foot and ankle surgeon with a particular expertise in sports medicine. With over 15 years of experience, Dr. Desai serves as a professional sports team physician and treats the full spectrum of foot and ankle conditions — from ankle sprains, Achilles injuries, and tendon disorders to fractures, cartilage injuries, total ankle replacement, and complex revision and reconstructive surgery.

He is a published researcher, an orthopedic implant inventor, a national lecturer, and a former University of Texas All-American athlete — a background that shapes how he approaches getting active people back to what they love doing.

Offices in McKinney and Flower Mound, Texas, serving patients throughout Plano, Frisco, Denton, Lewisville, Southlake, Dallas, Fort Worth, and the greater Dallas-Fort Worth metroplex and beyond.

Schedule an Appointment

📞 (972) 547-0047

🌐 theachillesdoc.com

📍 McKinney, TX | Flower Mound, TX

If you are dealing with a foot or ankle problem that isn't improving — or you've been told to "wait and see" and you're not satisfied with that answer — a focused evaluation with a fellowship-trained specialist can give you clear next steps. Please bring any prior X-rays, MRI reports, and a list of treatments you've already tried.

This article is for educational purposes only and does not constitute personal medical advice. Always consult a qualified physician about your individual situation.

Lisfranc injuries — the full series

• Lisfranc Injury Surgery: The Complete Guide from a Sports Medicine Foot and Ankle Surgeon

• How Lisfranc Injuries Are Diagnosed: X-ray vs. CT vs. MRI

• Why Lisfranc Injuries Are Such a Big Deal in Athletes

References

1. Return to Sport Following Lisfranc Injuries in Elite Athletes-2024 International Foot and Ankle Sports Consensus and Systematic Review. Webber KJ, Balboni JM, Semelsberger SD, et al. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA. 2026;. doi:10.1002/ksa.70285.

2. Recovery Curves for Lisfranc ORIF Using PROMIS Physical Function and Pain Interference. Dong W, Sroka O, Campbell M, et al. Journal of Orthopaedic Trauma. 2024;38(5):e175-e181. doi:10.1097/BOT.0000000000002787.

3. Diagnostic Evaluation and Nonoperative Management of Lisfranc Injuries in Athletes. Semelsberger SD, Boggiano VJ, Webber K, et al. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA. 2025;. doi:10.1002/ksa.70244.

4. Clinical Outcomes and Development of Symptomatic Osteoarthritis 2 to 24 Years After Surgical Treatment of Tarsometatarsal Joint Complex Injuries. Dubois-Ferrière V, Lübbeke A, Chowdhary A, et al. The Journal of Bone and Joint Surgery. American Volume. 2016;98(9):713-20. doi:10.2106/JBJS.15.00623.

5. Complications and Outcomes After Fixation of Lisfranc Injuries at an Urban Level 1 Trauma Center. Sinkler MA, Benedick A, Kavanagh M, Alfonso N, Vallier HA. Journal of Orthopaedic Trauma. 2024;38(5):e169-e174. doi:10.1097/BOT.0000000000002780.

6. Early Weight-Bearing After Percutaneous Reduction and Screw Fixation for Low-Energy Lisfranc Injury. Wagner E, Ortiz C, Villalón IE, Keller A, Wagner P. Foot & Ankle International. 2013;34(7):978-83. doi:10.1177/1071100713477403.

7. Risk Factors for Postoperative Complications in Lisfranc Injuries Treated With Open Reduction and Internal Fixation: A Multicenter Study. Minoura Y, Takegami Y, Nakashima H, et al. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons. 2026;:S1067-2516(26)00113-4. doi:10.1053/j.jfas.2026.04.015.

8. Return to Training and Playing After Acute Lisfranc Injuries in Elite Professional Soccer and Rugby Players. Deol RS, Roche A, Calder JD. The American Journal of Sports Medicine. 2016;44(1):166-70. doi:10.1177/0363546515616814.

9. Open Reduction and Internal Fixation of Tarsometatarsal (Lisfranc) Fracture Dislocations-Is Arthrodesis Necessary?. Joseph NM, Patel R, Freedman C, Cox K, Mir HR. The Journal of the American Academy of Orthopaedic Surgeons. 2024;32(4):178-185. doi:10.5435/JAAOS-D-23-00696.

10. Acute Lisfranc Injury Management. Poutoglidou F, van Groningen B, McMenemy L, Elliot R, Marsland D. The Bone & Joint Journal. 2024;106-B(12):1431-1442. doi:10.1302/0301-620X.106B12.BJJ-2024-0581.R1.

11. Adequate Return to Sports and Sports Activities After Treatment of Lisfranc Injury: A Meta-Analysis. Ter Laak Bolk CS, Dahmen J, Lambers KTA, Blankevoort L, Kerkhoffs GMMJ. Journal of ISAKOS : Joint Disorders & Orthopaedic Sports Medicine. 2021;6(4):212-219. doi:10.1136/jisakos-2020-000477.

12. Primary Arthrodesis Versus Open Reduction Internal Fixation for Acute Lisfranc Injuries: A Systematic Review and Meta-Analysis. O'Connor KP, Tackett LB, Riehl JT. Archives of Orthopaedic and Trauma Surgery. 2024;145(1):49. doi:10.1007/s00402-024-05700-z.