Dr. Christian Fang
Fractures of the ankle joint are among the commonest fractures in adults. Operative treatment is indicated for unstable fracture patterns. Bimalleolar fractures are inherently unstable, and ORIF is the most commonly used surgical intervention.
This VJO video is one of several featured in Operative Techniques in Foot and Ankle Surgery, 2nd Edition, published by Lippincott Williams & Wilkins.
Dr. Christian Fang, Queen Mary Hospital in Hong Kong, presents his operative technique for the treatment of a bimalleolar fracture in a 63 year-old female. The oblique lateral malleolar fracture is approached with an incision directly over the lateral border of the fibula. After careful dissection to preserve the blood supply to the fracture site, anatomical reduction is achieved with a lag screw and contoured neutralization plate. Exposure of he medial malleolus is performed with a slight curvilinear anteromedial incision. Reduction is achieved with two distal k-wires, a proximal cortical screw/washer and a flexible wire wrapped and tightened in a figure-of-eight fashion around the two anchoring points.
- Total Run Time: 19:33 minutes
- Catalog Number: 1039
- VJO Publication Date: November, 2017