PMC3284290_01
Anteroposterior (A) and lateral (B) radiographic views immediately following the initial injury showing a minimally displaced fibula shaft fracture in a diabetic patient with peripheral neuropathy. Anteroposterior (C) and lateral (D) radiographic views 6 weeks following initial injury and upon initial presentation to the treating physician's office demonstrating a displaced fibula shaft fracture with ankle joint subluxation.
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Radiographic evaluation revealed a displaced fibula fracture with significant ankle joint subluxation and widening of the medial clear space (Fig. 1).
Anteroposterior (A) and lateral (B) 4-week postoperative radiographs, a combination of circular external fixation and ORIF with pro-syndesmotic screws was performed for repair. Anteroposterior (C) and lateral (D) 8-month postoperative radiographs, the ankle mortise was well maintained with no evidence of hardware failure or Charcot neuroarthropathy.
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The patient continued to maintain an ambulatory status with no further complications at his 8-month follow-up (Fig. 2).