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Only one patient with avulsion fractures underwent secondary surgery. Nonoperative treatment has a role in the treatment of Lisfranc injuries, and the results of our study support the view that avulsion and simple intra-articular fractures with 2mm of displacement can be treated nonoperatively with high functional outcomes. The results of nonoperative and operative treatment should be compared in a prospective randomized controlled study setting in future studies. IV, retrospective case series. IV, retrospective case series. Fibers