Injuries to the tarsometatarsal joint complex are uncommonly recognised. Many treatment modalities have been advocated. In recent years anatomic reduction and temporary rigid fixation with trans -articular screws has become popular.

This is a study conducted over a period of at least two years. It reviews the management and subsequent outcome of a series of consecutive patients with an average age of 40.1 who suffered tarsometatarsal injury, or Lisfranc fracture.

Anatomic or near anatomic reduction was achieved using temporary bridging plate fixation of the TMT joints and occasionally also with second metatarsal base medial cuneiform screw fixation.

Two years post surgery a good or excellent functional result was generally achieved; however midfoot stiffness was a common problem.