Abstract

• The tarsometatarsal fracture-dislocation are unusual freguency. Lesion in this area are generally the result of a high energy traulna and difficult to recognize on standard radiographs. Twenty-one casei of fracture and dislocation of the tarsometatarsal joint were treated by open or closed reduction from January 1991 to April 1996. We assessed clnical result & treatment result and the following results were obtained.
  1. Anatomical reduction is likely to lead nearly normal function & little complications.
  2. Due to soft tissue interposition, espicially interposition of tibialis anterior, and marked articular comminution, early closed reduction was failed in 3 cases. If the closed reduction is tossed, then open reduction and internal fixation was performed.
  3. In cases of nearly anatomical reduction, good prognosis was obtained.
  4. Accurate accessment of AP & oblique & lateral projection of radiographs were very adventa geous & important.
  5. Open anatomical reduction was superior to closed reduction & percataneous pining & cast immobilization alone.
• Key words: Tarsometatarsal joint, Fracture-dislocation, Treatment

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