Fractures of the tarsal bones

Midfoot fractures and dislocations are relatively uncommon. They can have s ignificant associated long-term morbidity, however. Accurate diagnosis and appropriate treatment can help to decrease this morbidity. The general prin ciples of treating midfoot fractures are identical to those for any orthope dic fracture. An adequate reduction of the entire midfoot should be obtaine d and then maintained until satisfactory heating has occurred. Displaced fr actures often require surgery to reduce and fix. Stable fixation or primary arthrodesis of the smaller midfoot articulations often is required because the Ligament injuries associated with midfoot fractures can be debilitatin g. Surgeons should preserve motion at the talonavicular joint and the cuboi d-fourth and fifth articulation. This article reviews the diagnosis and tre atment of various midfoot fractures and dislocations.