A fixation device for fixation and/or fusion of the bones and joints of the mid-foot includes a plate having a plurality of screw holes for attachment of the plate around the perimeter of the fusion site. Four screw holes are positioned at the corners of the plate and two screw holes are located at the opposite sides and mid-length of the plate. Preferably, four additional screw holes are defined at the interior of the plate to increase the number of points of attachment of the plate to the bones of the mid-foot or to increase the ability to stabilize multiple bone segments in the case of a difficult mid-foot fracture. The plate includes a plurality of cut-outs defined between or interior of the screw holes. The cut-outs are sized to accept additional bone fasteners to either enhance the attachment of the plate to the mid-foot bones or to provide access for a fastener to reduce a bone fragment beneath the plate. The plate is configured so that the screw holes and cut-outs are not positioned over a fusion location when the plate is attached to the mid-foot.
