case_images: PMC11134263_01
case_images: PMC11134263_02
case_images: Anterior-posterior and lateral plain film Xrays of initial fracture
case_images: ABJS-12-361-g001.jpg
case_images: PMC11134263_02_ABJS-12-361-g001.jpg
case_images: F1
case_images: Anterior-posterior and lateral plain film Xrays of initial fracture in a moulded cast, showing an adequate reduction
case_images: ABJS-12-361-g002.jpg
case_images: PMC11134263_02_ABJS-12-361-g002.jpg
case_images: F2
case_images: Anterior-posterior and lateral plain film Xrays of initial fracture in a moulded cast at 1 week post-injury, showing loss of reduction and valgus collapse
case_images: ABJS-12-361-g003.jpg
case_images: PMC11134263_02_ABJS-12-361-g003.jpg
case_images: F3
case_images: Intra-operative anterior-posterior and lateral plain film Xrays of initial ORIF
case_images: ABJS-12-361-g004.jpg
case_images: PMC11134263_02_ABJS-12-361-g004.jpg
case_images: F4
case_images: Post-operative anterior-posterior and lateral plain film Xrays of initial ORIF
case_images: ABJS-12-361-g005.jpg
case_images: PMC11134263_02_ABJS-12-361-g005.jpg
case_images: F5
case_images: Intra-operative anterior-posterior and lateral plain film Xrays of revision ORIF
case_images: ABJS-12-361-g006.jpg
case_images: PMC11134263_02_ABJS-12-361-g006.jpg
case_images: F6
case_images: The medial malleolus fixation was also successfully revised with a combination of partially threaded and cortical screws, as well as a medial buttress plate [Figure 6, Figure 7].
case_images: Post-operative anterior-posterior and lateral plain film Xrays of revision ORIF
case_images: ABJS-12-361-g007.jpg
case_images: PMC11134263_02_ABJS-12-361-g007.jpg
case_images: F7
case_images: The medial malleolus fixation was also successfully revised with a combination of partially threaded and cortical screws, as well as a medial buttress plate [Figure 6, Figure 7].
case_images: (a): Clinical photography of maximal dorsiflexion at discharge . (b): Clinical photography of maximal planter-flexion at discharge . (c): Anterior-posterior film Xrays of revision ORIF at discharge
case_images: ABJS-12-361-g008.jpg
case_images: PMC11134263_02_ABJS-12-361-g008.jpg
case_images: F8
case_images: Successive outpatient follow up showed no loss of reduction, radiological union, and a complete return to baseline mobility (one stick for balance) at the final review 7 months post-operatively [Figure 8c]. On discharge, the patient's recovery can also be appreciated by their high AOFAS Ankle-Hindfoot Score of 94 %, a maximal range of motion of -10 degrees dorsiflexion to 50 degrees plantar-flexion - with symmetrical measurements to the contralateral side [Figure 8a, Figure 8b].