Objectives: ▪ Outlines the necessity of early diagnosing and management of lisfranc injury and metatarsal fracture to avoid chronic instability. ▪ Advantages of plate fixation for (proximal) fifth metatarsal fracture in addition to k-wire. ▪ To assessing the functional outcome and duration of union using MIPPO technique in the management of distal third tibia fracture.