The 5-minute Tightrope: A guide to efficient placement of flexible Lisfranc fixation


  • Nevin Joseph, DPM Resident Physician - Foot and Ankle Surgery, OhioHealth Grant Medical Center, Columbus, OH
  • Zachary P. Hill, DPM Resident Physician - Foot and Ankle Surgery, OhioHealth Grant Medical Center, Columbus, OH
  • Robert W. Mendicino, DPM, FACFAS Residency Director, Foot and Ankle Surgery, OhioHealth Grant Medical Center, Columbus, OH



Lisfranc, tightrope, suture button, flexible, open reduction internal fixation, dynamic fixation


Ligamentous Lisfranc injuries can be a challenging pathology for foot and ankle surgeons to diagnose and treat. When surgical intervention is warranted, dynamic flexible fixation is a widely used option that continues to popularize. We present a technique guide that can increase efficiency, decrease operative time and decrease fixation malposition when using flexible fixation devices for ligamentous Lisfranc injuries.


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How to Cite

Joseph N, Hill Z, Mendicino R. The 5-minute Tightrope: A guide to efficient placement of flexible Lisfranc fixation. J Int Foot Ankle [Internet]. 2023 Dec. 1 [cited 2024 Jul. 12];2(12). Available from: