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Open Reduction Internal Fixation of Distal Fibula

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Evolution of Open Reduction Internal Fixation of Distal Fibula

A single plate with multiple screws are commonly utilized for lateral malleolar fractures. Some of the basic principles of fracture fixation are as follows:

  • fractures should be reduced to restore anatomic alignments
  • fractures should be treated with a fixation method that provides stability
  • there must be enough blood supply to allow for the body to heal the injury
  • treatment should allow for early and safe mobilization of the injured area

Ankle fractures usually require additional intraoperative tests to determine ankle stability. If deemed unstable, additional screws or the use of a tightrope construct may be required to obtain ankle stability. Patients should discuss this possibility with their surgeon and how it may affect recovery.

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