Modern Medicine | 2017, Vol. 24, No. 2 94 Charcot Foot Diagnosis – Still an Issue? Ion Cocolos 1 , Tiberiu Paul Neagu 2,5 , Andrei Tudor Ursache 1 , Ioan Cristescu 1,6 , Mircea Vasile Ghemigian 3 , Liliana Elena Mirea 4,6 , Gheorghe Ion Popescu 1,6 1 Department of Orthopedics, Clinical Emergency Hospital of Bucharest, Romania 2 Department of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital of Bucharest, Romania 3 Department of Surgey, „C.I. Parhon” National Institute of Endocrinology, Bucharest, Romania 4 Department of Anesthesiology and Intensive Care, Emergency Clinical Hospital of Bucharest, Romania 5 Clinical Department No. 11, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania 6 Clinical Department No. 14, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania Corresponding author: Tiberiu Paul NEAGU Department of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital of Bucharest, 8 Floreasca Avenue, 1 st District, 01446, Bucharest, Romania. E-mail: dr.neagupaul@gmail.com Abstract TheLisfrancfracture-dislocation of the foot is uncommon andmany cases are misdiagnosed. A neglected or untreated injury of theLisfrancjoint can lead to secondary arthritis and significant morbidity with disability. In this paper we described pacient’s recent medical history that led to Lisfranc lesion and our means of diagnosis and treatment. The chosen implant was a limited contact plate 3.5 mm (LCP) with screws and screw fixation, and tem- porary Kirschner (K) wire fixation (6 weeks). The main objectives of the treatment consists in anatomical reduction associated with an early mobilization in order to avoid mineral bone loss and to keep the patient as close as possi- ble to the fullest of its function prior to the event that has led to his static and kinematic disorder. After three months the follow-up was excellent. Keywords: Lisfrancfracture-dislocation, anatomical reduction, early mobilization Rezumat Fractura-luxaţie Lisfranc a piciorului este destul de rară și diagnosticul este, în multe cazuri, ratat. O leziune negli- jată sau netratată a articulaţiei Lisfranc poate conduce secundar la o artrită și o morbiditate locală, precum și la un handicap semnificativ. În această lucrare am descris antecedentele medicale recente ale pacientului care au con- dus la leziunea Lisfranc și mijloacele noastre de diagnosticare și tratament. Pentru stabilizare s-a utilizat o placă cu contact limitat de 3,5 mm (LCP) cu șuruburi și fixare prin șurub precum și o osteosinteză temporară cu broșe (6 săptămâni). Obiectivele principale ale tratamentului constau într-o reducere anatomică și o mobilizare precoce pentru a evita scăderea densităţii minerale osoase și pentru a menţine pacientul cât mai aproape de funcţia anteri- oară evenimentului care a condus la tulburarea sa statică și cinematică. Urmărirea la 3 luni a fost excelentă. Cuvinte cheie: Fractura-luxatie Lisfranc, reducere anatomică, mobilizarea precoce CASE REPORTS INTRODUCTION Te Lisfranc fracture-dislocation of the foot is uncom- mon and many cases are misdiagnosed. Te Lisfranc le- sion involves the medial cuneiform and base of the se- cond metatarsal which are considered to be the keysto- ne of the structural integrity of the midfoot. Tis joint has a stabilization efect on longitudinal and transverse arches of the foot. A neglected or untreated injury to the Lisfranc joint can lead to secondary arthritis and signifcant morbidity with disability. Furthermore, it is well known the correlation between pacients with pe- riferic neuropathy and this type of lesion, also known as Charcot Foot 1 . It has been documented to occur as