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Title
1. Introduction
2. Prep
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a. Leg Positioning
b. Draping
c. Marking
d. Tourniquet
e. Surgical Time Out
3. Fibular Fixation
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a. Lateral Skin Incision and Exposure of Fracture
b. Clean Fracture Site
c. Fibular Reduction with Pointed Reduction Forceps
d. Fit and Contour Fibular Plate
e. Proximal Non-locking Screw
f. Distal Non-locking Screw
g. Fill Remaining Gaps with Locking Screws
4. Syndesmotic Fixation
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a. Exposure of Syndesmosis
b. Reduction of Syndesmosis and Provisional Fixation with K-Wires
c. First 3.5-mm Syndesmotic Tricortical Screw
d .Lag Screw Fixation of Tillaux Fragment
e. Second 3.5-mm Syndesmotic Tricortical Screw
5. Medial Malleolus Fixation
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a. Prep Medial Side
b. Medial Skin Incision and Exposure of Fracture
c. Reduction with Pointed Reduction Forceps
d. Provisional K-Wire Fixation
e. First Tibia Lag Screw
f. Second Tibia Lag Screw
6. Final Images
7. Irrigation and Wound Closure
8. Post-op Remarks
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Open Reduction and Internal Fixation of a Trimalleolar Ankle Fracture
Michael J. Weaver, MD
Brigham and Women's Hospital
Tags:
Orthopaedics
Orthopaedic Trauma
Main Text
Procedure Outline
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Authors
Michael J. Weaver, MD
Filmed At:
Brigham and Women's Hospital
Article Information
Publication Date
1/30/2023
Article ID
22
Production ID
0094
Volume
2023
Issue
22
DOI
https://doi.org/10.24296/jomi/22