This video demonstrates a two incision approach for fusion of a Lisfranc fracture-dislocation. Description includes common indications/contraindications, setup, techniques and alternatives. Following the description of the case we present how to properly perform a stress exam under anesthesia, topical landmarks for planning incision, as well as pertinent anatomy. Following exposure, we explain the though process behind preparation of a joint for fusion as well as reduction and fixation techniques. Final radiographs demonstrate typical results.