Cleaning the fracture site

It  is important to visualize and inspect the joint, searching for bone and cartilage fragments detached from the medial malleolus or from the talus.


Anatomical reduction

Reduce the fracture anatomically with the use of small pointed reduction forceps taking care with the soft tissues.

Do not strip the periosteum more than necessary.


Preliminary fixation

Insert a 1.6 mm K-wire as perpendicularly as possible to the fracture plane.

As decided in preoperative planning, this K-wire should occupy the planned position of the posterior screw.

Check the reduction under image intensification.