case_images: PMC11723741_01
case_images: A clinical picture of the medial ankle wound and foot abrasions.
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case_images: PMC11723741_01_JOCR-15-235-g001.jpg
case_images: F1
case_images: On the right ankle, there was a laceration on the medial aspect of the ankle, just superior to the medial malleolus, measuring approximately 6 cm x 2 cm (Fig. 1), and the neurovascular status was intact.
case_images: Radiographs of the bilateral ankles anteroposterior and lateral views post-reduction on tri-slab with ankle Weber B fractures.
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case_images: F2
case_images: Both ankles were reduced under sedation and placed on tri-slabs, and control plain radiographs post-reduction were done (Fig. 2).
case_images: (First stage: a and b) Images of the right ankle post debridement and spanning ankle external fixator and (Second stage: c) Radiographs of the right ankle anteroposterior views with fixed fractures post removal of exertional fixation.
case_images: JOCR-15-235-g003.jpg
case_images: PMC11723741_01_JOCR-15-235-g003.jpg
case_images: F3
case_images: Ortho-XACT trauma frame (Fig. 3a and b). On the left, a plate and screws were used for fixation of the lateral malleolus, and two cannulated screws were used for fixation of the medial malleolus (Fig. 4). The external fixator was converted to a definitive open reduction and internal fixation using a plate and screws approximately 2 weeks (16 days) later (Fig. 3c).
case_images: Radiographs of the left ankle anteroposterior and lateral views with fixed fractures.
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case_images: PMC11723741_01_JOCR-15-235-g004.jpg
case_images: F4
case_images: Ortho-XACT trauma frame (Fig. 3a and b). On the left, a plate and screws were used for fixation of the lateral malleolus, and two cannulated screws were used for fixation of the medial malleolus (Fig. 4).
case_images: PMC11723741_02
case_images: A clinical picture of the superficial abrasion measuring 2 cm x 2 cm noted on the left lateral malleolus and bilateral ankles swollen.
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case_images: F5
case_images: Active movement was limited due to pain (Fig. 5). Active movement was limited due to pain (Fig. 5).
case_images: (A) Anteroposterior bilateral ankle views pre-reduction and (B and C) Radiographs of the bilateral ankles anteroposterior and lateral views post-reduction on tri-slab with ankle Weber B fractures post-reduction.
case_images: JOCR-15-235-g006.jpg
case_images: PMC11723741_02_JOCR-15-235-g006.jpg
case_images: F6
case_images: On the right, a closed Herscovici type D isolated medial malleolus fracture (Fig. 6). Paris tri-slabs. Post-reduction plain radiographs (Fig. 6) were done and the patient was admitted for analgesia, limb elevation, pre-operative workup, and definitive management.
case_images: (Left: a and b and Right: c and d) Radiographs of the bilateral ankles mortise and lateral views with fixed fractures.
case_images: JOCR-15-235-g007.jpg
case_images: PMC11723741_02_JOCR-15-235-g007.jpg
case_images: F7
case_images: After the settling of soft tissues and consent was completed, the patient was booked for bilateral open reduction and internal fixation with a plate and cannulated screws on the left and cannulated screws on the right (Fig. 7).