What is the optimal management of a fracture-dislocation of the tarsal-metatarsal joint, also known as Lisfranc's joint?

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The optimal management of a fracture-dislocation of the tarsal-metatarsal joint, also known as Lisfranc's joint, is urgent orthopedic consultation for possible open reduction and internal fixation. A fracture at the base of the second metatarsal is almost pathognomonic of a disrupted joint. Treatment is difficult and may require open reduction and internal fixation. It is important to obtain orthopedic consultation as early as possible.

What Is the Optimal Management of a Fracture-Dislocation of the Tarsal-Metatarsal