Being an active adult patient and considering the configuration of the fracture, it was decided that the fracture would be fixed. As the fracture was minimally displaced, an attempt to fix the fracture percutaneously without disturbing the soft tissues was made.
The patient was investigated and preanesthetic evaluation done.
The hole for the first screw was drilled after confirming the position in C-arm .
After drilling the hole a malleolar screw was inserted. Here is the preoperative x-ray of the screw being inserted.
Similarly, the second screw was inserted.
After the second screw was inserted, the positions were checked.
The incision sites for screw insertion were stapled.
The patient was followed up over a period.
Staples were removed after 12 days.
The fracture showed good union on serial x-rays.
Weight-bearing was allowed after 8 weeks of surgery.
Here is an x-ray done after 3 months of surgery.
The fracture is well united and ankle is well reduced.
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