An apparatus and method for Lisfranc repair using a suture-button construct. The method includes the steps of drilling a hole in a medial cuneiform and through a second metatarsal base, passing a needle with a pull-through suture strand through the hole, pulling the pull-through suture strand and simultaneously applying a lateral tension on a first suture strand such that the first button lies sideways and advancing the first button through the hole until the it exits the hole at the medial cuneiform, flipping the first button to engage it against the medial aspect of the medial cuneiform and applying a lateral tension on the first suture strand, pulling free ends of the first suture strand to advance a second button over the second metatarsal base and to engage it against the second metatarsal base, and securing the second button against the second metatarsal base by tying a Surgeon's knot and two reverse half-hitches.