Injuries to the tarsometatarsal joint involving fracture dislocations are uncommon and are often referred to as Lisfranc lesions after the French field surgeon in the Napoleonic Wars. Despite the infrequency of this serious injury, they have the potential for chronic disability and require prompt, accurate diagnosis and precise anatomic reduction to minimize long term disability. A review of the literature shows that opinions differ as to the most appropriate method of treatment for these injuries, be it closed or open reduction, but most authors agree that it is imperative to achieve precise anatomic reduction.