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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
  • 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

Bimalleolar Ankle Fracture Open Reduction and Internal Fixation

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Michael Akodu, MBBS; Elyse J. Berlinberg, MD; Miles Batty, MD; Michael McTague, MPH; Kiran J. Agarwal-Harding, MD, MPH
Beth Israel Deaconess Medical Center

Orthopaedics

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Surgical Approach
      1. 3. Tourniquet
        1. 4. Lateral Incision
          1. 5. Exposure with Care to Preserve Superficial Peroneal Nerve
            1. 6. Clearing Fracture Edges
              1. 7. Provisional Anatomic Reduction with Pointed Reduction forceps
                1. 8. Interfragmentary Screw
                  1. 9. K-Wire to Prevent Rotation
                    1. 10. Neutralization Plate Along the Lateral Fibula
                      1. 11. Medial Incision
                        1. 12. Exposure with Care to Preserve Saphenous Vein
                          1. 13. Clearing Fracture Edges and Visualization of the Anteromedial Corner of the Tibiotalar Joint
                            1. 14. Provisional Reduction with Two Guidewires
                              1. 15. Two Partially-Threaded, Cannulated Screws
                                1. 16. Final X-Rays
                                  1. 17. Cotton Test
                                    1. 18. Closure
                                      1. 19. Dressing and Short Leg Splint to Maintain Neutral Ankle
                                        1. 20. Post-op Remarks
                                          1. Place Plate and Hold with K-Wires
                                          2. One Bicortical Non-locking Screw Proximally and One Unicortical Locking Screw Distally
                                          3. X-Rays
                                          4. More Bicortical Non-locking Screws Proximally and Unicortical Locking Screws Distally
                                          5. Remove K-Wires
                                          6. X-Rays
                                          1. X-Rays
                                          1. X-Rays

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                                          Authors

                                          Filmed At:

                                          Beth Israel Deaconess Medical Center

                                          Article Information

                                          Publication Date
                                          Article ID454
                                          Production ID0454
                                          Volume2024
                                          Issue454
                                          DOI
                                          https://doi.org/10.24296/jomi/454