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dence-based goals and establish realistic expectations for postoperative physical activity after TAR and AA. Level of evidence Level III, systematic review.Background Unstable Lisfranc injuries are best treated with anatomic reduction and stable fixation. There are controversies regarding which type of stabilization is best. In the present study, we compared primary arthrodesis of the first tarsometatarsal (TMT) joint to temporary bridge plating in unstable Lisfranc injuries. Methods Forty-eight patients with Lisfranc injuries were inc