Early September 2016
Complex injury to the right lower leg - mid shaft tibia fracture and ankle fracture. Both displaced requiring operative management. More on the images below.
Few days after the injury both fractures were fixed during the same session, living distal fibula fracture for conservative management. Postoperative images are below.
As you cans see on the image intensifier pictures above posterior malleolus was fixed first, tibia second. Lateral malleolus was left for conservative treatment due to the comminution but also almost anatomical alignment achieved with the nail.
23 September 2016
Follow up 4 weeks post fixation showed healed wounds and good position of the fragments but implants as well. Butterfly fragment is in the position where it should be but is not compressed. This follows Perren's theory about absolute and relative stability type of fixation.
Patient is non-weight bearing and in a plaster.
04 November 2016
Patient doing well. No problems. All wounds healed.
20 December 2016
Good progress. No problems.
21 March 2017
6 months post injury and fixation
All well. Patient happy with the outcome.