In Lisfranc post-operative rehabilitation, what boot is used for partial weight bearing?

• A. CAM boot
• B. Aircast boot
• C. Fracture boot
• D. Cast

Answer: (A)

After Lisfranc surgery, protecting the repaired midfoot while allowing controlled loading is essential. A walking boot is used to achieve this balance, enabling partial weight bearing as directed by the surgeon. The boot best aligns with this goal is the CAM boot, which stands for Controlled Ankle Movement. It provides a rigid, protective shell to immobilize the ankle and hindfoot, helping maintain alignment and protect the Lisfranc repair, while allowing gradual loading by adjusting fit, and sometimes heel height, as healing progresses. It also offers the practical benefit of being removable for wound checks, edema management, and gentle exercises, which a non-removable cast does not. Though an Aircast boot is a similar type of walking boot, CAM boot is the term most commonly referenced in postoperative foot protocols. A cast would be overly immobilizing and not conducive to progressive partial weight bearing or routine wound care.