Dislocation fracture of the tarsometatarsal joint is a rare but devastating injury that presents a great challenge to the podiatric surgeon. A case of Lisfranc's dislocation is presented that was further complicated by the 7-month interval between injury and diagnosis. Because of this interval and the resultant degenerative change that ensued in the tarsometatarsal articulation, surgical arthrodesis of these joints was attempted with combined use of bone screws and Kirschner wire internal fixation. Results of surgery were excellent with anatomical realignment of Lisfranc's articulation and the return of all preinjury physical activities 8 months postoperatively.