Lisfranc (mid-tarsal joint) dislocation or fracture dislocation is rare and not always recognized. It is a most commonly missed or misdiagnosed injury of the foot. Between 1984 and 2002, from a total number of our 22,803 patients, 18 (0.08%) had sustained Lisfranc joint dislocation. Seventeen injuries were diagnosed directly after admission and one, 4 weeks after injury. There were usually additional fractures of tarsal and metatarsal bones and in five cases, injuries of other parts of the body. The type of dislocation was defined by Quenu–Kuss classification modified by Hardcastle. In all patients, open reduction and joint stabilization with Kirschner wires was performed. In 15 patients, reduction was complete (group A), however, in three cases it was incomplete (group B). Results were defined by Richardson classification. Better results were received in group A (good=6, SATISFACTORY=1, BAD=2), in group B, respectively, SATISFACTORY=1, BAD=2. As shown by the results, the procedure should avoid post-traumatic arthritis of the foot.