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Title
1. Introduction
2. Surgical Approach
3. Tourniquet
4. Lateral Incision
5. Exposure with Care to Preserve Superficial Peroneal Nerve
6. Clearing Fracture Edges
7. Provisional Anatomic Reduction with Pointed Reduction forceps
8. Interfragmentary Screw
9. K-Wire to Prevent Rotation
10. Neutralization Plate Along the Lateral Fibula
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a. Place Plate and Hold with K-Wires
b. One Bicortical Non-locking Screw Proximally and One Unicortical Locking Screw Distally
c. X-Rays
d. More Bicortical Non-locking Screws Proximally and Unicortical Locking Screws Distally
e. Remove K-Wires
f. X-Rays
11. Medial Incision
12. Exposure with Care to Preserve Saphenous Vein
13. Clearing Fracture Edges and Visualization of the Anteromedial Corner of the Tibiotalar Joint
14. Provisional Reduction with Two Guidewires
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a. X-Rays
15. Two Partially-Threaded, Cannulated Screws
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a. X-Rays
16. Final X-Rays
17. Cotton Test
18. Closure
19. Dressing and Short Leg Splint to Maintain Neutral Ankle
20. Post-op Remarks
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Bimalleolar Ankle Fracture Open Reduction and Internal Fixation
Michael Akodu, MBBS
;
Elyse J. Berlinberg, MD
;
Miles Batty, MD
;
Michael McTague, MPH
;
Kiran J. Agarwal-Harding, MD, MPH
Beth Israel Deaconess Medical Center
Tags:
Orthopaedics
Orthopaedic Trauma
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Procedure Outline
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Authors
Michael Akodu, MBBS
Elyse J. Berlinberg, MD
Miles Batty, MD
Michael McTague, MPH
Kiran J. Agarwal-Harding, MD, MPH
Filmed At:
Beth Israel Deaconess Medical Center
Article Information
Publication Date
10/11/2024
Article ID
454
Production ID
0454
Volume
2024
Issue
454
DOI
https://doi.org/10.24296/jomi/454