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AP radiograph showing bilateral medial malleolus fractures.
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The fracture line was running vertical from the junction of the tibial plafond and the medial malleolus to the distal tibial metaphysis (Fig. 1).
Standing long leg radiograph showing altered mechanical axis.
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Long leg alignment views showed symmetrical varus malalignment of both knees with weight bearing plumb line passing through medial border of medial tibiofemoral compartment (Fig. 2).
Three months post-op radiograph showing both fractures well healed.
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Motion Boot for 4 weeks. Medial malleoli fractures were clinically and radiologically united at 3 months post operatively (Fig. 3).
Post-op long leg radiograph showing improvement in mechanical axis.
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Personalized Solutions (DePuy Orthopedics, Inc., Warsaw, USA). Patient was completely asymptomatic and mobile with no walking aids at 6 monthly follow up. Postoperative long leg alignment views show restoration of near normal mechanical axis with bilateral TKRs in situ and well-healed medial malleoli fractures (Fig. 4).