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.


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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.


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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.