Follow up case to open ankle fracture dislocation 1. We redu | Figure 1

Dstradamus

Orthopedic Surgery Resident

Follow up case to open ankle fracture dislocation

1. We reduced/fixed the medial malleolus
2. Reduced the fibula (making sure it is out to length), then applied 1/3 tubular overlapping plates to get a long enough plate for desired fixation
3. Reduced the syndesmosis with a large clamp over fibula and medial tibia and secured with fiberwire “tightrope” fixation

On the lateral approach to the fibula what nerve do you have to watch out for? And what do you do when the patient says they can’t move or feel their foot after surgery?

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33 yr old male sliding at homebase in a softball game sustained this closed lxfx of tibia & fibula.. Funny thing was I thought I could reduce the lx through closed maneuver with iv sedation in the ER.. The fibula was NAILED to the talar domus! It could only be reduced at the OR via open maneuver! Later on was treated w/ORIF 1/3rd tube plate, position screw and deltoid repair

typical Bimal Fx. Op fixation expected w/ 8 hole plate and medial mal screw x2

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