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Open Reduction and Internal Fixation for Unstable Ankle Fractures: A Case Report and Surgical Technique

February 19, 2016

Contributors: Michael J Weaver, MD; Arvind Gabriel Von Keudell, MD; Arvind Gabriel Von Keudell, MD

Keywords: Bony Procedure

Purpose: Unstable ankle fractures may be a challenge for treating clinicians. Various approaches and techniques have been developed to manage unstable ankle fractures. This video demonstrates surgical fixation of unstable ankle fractures via open reduction and internal fixation. Methods: Various surgical techniques and approaches have been developed for the management of ankle fractures. Anatomic reduction and stable fixation is required to optimize long-term outcomes. Occasionally, soft-tissue swelling or comminution may not allow for immediate internal fixation; however, external fixation is an option. Results: This video discusses the case presentation of an unstable ankle fracture necessitating surgical fixation. The video demonstrates open reduction internal fixation. Conclusion: Immediate surgical fixation is a treatment option for the management of unstable ankle fractures, if the soft tissues allow. Knowledge of this technique may aid in the management of this fracture type.

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