case_images: PMC10823832_01
case_images: Pre-operative ankle X-ray (a: Anteroposteriorap, b: LAT, c: Mortise view) suggestive of right medial malleolar fracture with type 2 II Hawkins talus fracture with left Hawkins type 1 I fracture.
case_images: JOCR-14-155-g001.jpg
case_images: PMC10823832_01_JOCR-14-155-g001.jpg
case_images: F1
case_images: On the right side, there is a closed talus talus fracture of the Hawkin type II, accompanied by a fracture of the medial malleolus (Fig. 1).
case_images: Immediate post-operative X-rays (a & and b: Right side; c & and d: Left side) both showing well-reduced and aligned fracture with the implant in situ.
case_images: JOCR-14-155-g002.jpg
case_images: PMC10823832_01_JOCR-14-155-g002.jpg
case_images: F2
case_images: Fig. 2 shows the immediate post-operative radiographs of both sides showing adequate fracture reduction with satisfactory position of implants.
case_images: 3 years post-operative follow-up radiographs (a: Anteroposterior ap view; b: Lat view) showing united fracture without any signs of joint arthritis or avascular necrosis.
case_images: JOCR-14-155-g003.jpg
case_images: PMC10823832_01_JOCR-14-155-g003.jpg
case_images: F3
case_images: A three3- year post-operative X-ray showed union at both talus and medial malleolus with very minimal avascular necrosis changes and no subtalar or tibiotalar joint arthritis (Fig. 3).
case_images: 3 years post-operative follow-up clinical photographs showing ankle joint function.
case_images: JOCR-14-155-g004.jpg
case_images: PMC10823832_01_JOCR-14-155-g004.jpg
case_images: F4
case_images: Three-year follow-up showed both ankle range of motion with 30  deg plantar flexion, and 15  degrees dorsiflexion with mild intermittent pain and stiffness (Fig. 4).