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Malunited ankle fractures case discussion

55yr/F 1yr old malunited fracture of lat maleolus C/o difficulty in walking, pain and swelling of ankle joint Folks post ur plan of management I would post post op x ray tomorrow after a discussion on various plan of managments

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fiblua ostotomy done length restored tibio talar alignment restored and maintained with percutaeous pins syndesmosis fixed pop splint for 2 months

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Malalignment of lateral malleolus Corresponding medial side injury with widening of joint space: likely to be grade 3 injury of medial ligament complex Disruption of syndesmosis Osteotomy of lateral malleolus Medial ligament reconstruction with tendon graft After that fix lateral malleolus in suitable position with plate Syndesmotic screw also needed Joint look preserved without secondary OA Can expect functionally good results OA tarsometatarsal joints plus

Ankel sydesmotic injury too Orif by distal fibular lcp w sydesmotic screw

fiblua ostotomy done length restored tibio talar alignment restored and maintained with percutaeous pins syndesmosis fixed pop splint for 2 months