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If you’ve experienced a trimalleolar fracture, you know it’s not just a simple ankle break. This injury involves three parts of the ankle joint—the medial malleolus (inside of the ankle), the lateral malleolus (outside of the ankle), and the posterior malleolus (back of the tibia). That means the joint takes a big hit in both structure and stability. To restore alignment, most patients require ORIF surgery — Open Reduction and Internal Fixation. In plain terms, that means the bones are repositio
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Dr. Phong Le, FACFAS on Instagram: "A challenging trimalleolar ankle fracture dislocation. We did require three plate fixation and combination of cannulated screws. When fixing these via posterior approach, it is always important to release periosteum around fractures to be able to mobilize them back to anatomic alignment. Once posterior malleolus is free, go and get the fibula out to length, pin it and place a lag screw if possible and go back and place an anti-glide plate for the posterior mal
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