PMC5457752_01
Preoperative AP and lateral radiographic images of the left leg.
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fig1
He was seen at an outside emergency department and found to have a closed, comminuted, oblique fracture of left distal tibia-fibula (see Figures 1(a) and 1(b)).
Intraoperative fluoroscopy images following tibial rodding and percutaneous fixation of the posterior malleolus.
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fig2
Figures 2(a) and 2(b)). Following completion of proximal and distal locking ankle external rotation stress test was performed to evaluate for syndesmotic widening.
Postoperative radiographs at 4-week follow-up.
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fig3
He was transitioned to a range-of-motion (ROM) brace allowing knee movement to 90-degree flexion at 4 weeks (see Figures 3(a) and 3(b)).
Radiographs at 2-month follow-up showing interval healing with callus formation.
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At 8 weeks full movement and partial weight bearing were allowed and the knee brace was discarded (see Figures 4(a)-4(c)).