Bimalleolar Ankle Fracture Open Reduction and Internal Fixation
Table of Contents
- 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
- 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
- 15. Two Partially-Threaded, Cannulated Screws
- 16. Final X-Rays
- 17. Cotton Test
- 18. Closure
- 19. Dressing and Short Leg Splint to Maintain Neutral Ankle
- 20. Post-op Remarks
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
- Place Plate and Hold with K-Wires
- One Bicortical Non-locking Screw Proximally and One Unicortical Locking Screw Distally
- X-Rays
- More Bicortical Non-locking Screws Proximally and Unicortical Locking Screws Distally
- Remove K-Wires
- 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
- X-Rays
15. Two Partially-Threaded, Cannulated Screws
- X-Rays