Fig. 2

Female patient, aged 52, with left foot severe open Lisfranc fracture-dislocation, was transferred to our hospital 3 h after traffic injury. One-stage internal fixation using k-wires associated with VSD was performed during emergency. a Severe open wound on the left foot with bone exposure. b One-stage reduction and multiple k-wire internal fixation were performed via the open wound and dorsal incision, sealed with VSD kit. c The condition of original wound and incision was checked when VSD kit was changed 4 days after surgery. d Four months after surgery when the internal fixators were removed, with satisfying appearance and function. e On X-ray film before surgery, fracture-dislocation was observed at the left Lisfranc joint. f AP, oblique, and lateral X-ray showed that the fracture-dislocation reached to anatomical reduction after one-stage internal fixation. g X-ray film and CT scan showed good matching midfoot joint after removing the internal fixation at half a year operation