Fig. 12.

Surgical treatment of Lisfranc lesion: (a) comminuted fracture of the second, third and fourth metatarsal bases. Although there was no clear increase in inter-metatarsal space, there was ligamentous instability. (b) Post-operative anteroposterior (AP) projection. ORIF of the first column was performed and stabilisation of the second and third rays with a Lisfranc screw and dorsal plates. Osteosynthesis of the base of the fourth metatarsal was also performed. The joint between the fourth and fifth metatarsals and the cuboid were not fixed, given that they are articulations of adaptation to the ground and must have mobility. (c) Post-operative lateral projection.