Ankle fractures

A 50-year-old female fell approximately 3 feet from a step ladder. She presented to us with a bimalleolar ankle fracture placed in a cast by the referring hospital.

Open reduction and internal fixation was performed with placement of a plate and multiple screws, including an inter-fragmentary lag screw, for the fibula fracture and 2 screws for fixation of the medial malleolus fracture.

She returned at regular follow-up intervals and healed uneventfully and at 8 months following surgery radiographs illustrated a healed ankle fracture and clinically she reported no pain and a full return to pre-injury activities.

  • Figure A

    Figure A

    Radiographs reveal a displaced bi-malleolar ankle fracture.


  • Figure B

    Figure B

    X-Rays taken at 9 months revealing a healed ankle fracture.



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David L. Helfet, MD

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New York Fracture Care

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David L. Helfet, MD 

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David S. Wellman, MD