“…6,15 However, usage of transarticular K-wires as a temporizing measure in cases that cannot be sufficiently maintained in an external fixator alone may be appropriate in selected cases. 2,10 External fixation has been reported as a primary or temporary modality for severe midfoot injury. 10,15,19 Nithyananth et al 15 Despite the safety and efficacy of the staged approach to severe midfoot injury in the polytraumatized patient reported in our study, we do appreciate limitations of this strategy and this report.…”