Lisfranc injuries are uncommon but destabilizing injuries of the tarsometatarsal joint that are often missed on initial evaluation and have a high incidence of posttraumatic arthritis. These injuries can occur from low or high-energy mechanisms and feature unique characteristics. Open reduction and internal fixation is indicated in Lisfranc injuries that include a fracture component and different methods of fixation have been described. In this article, we present our operative techniques for open reduction and internal fixation of Lisfranc fractures using dorsal plating for both low and high-energy injuries.
Level of Evidence: Diagnostic Level 3. See Instructions for Authors for a complete description of levels of evidence.