Figure 4.

Intraoperative and postoperative imaging following open reduction and internal fixation of Bosworth fracture. (a) Fluoroscopic anteroposterior view showing definitive distal fibular plate fixation with lag screw stabilization of the anterior articular fragment. (b) Fluoroscopic oblique view best demonstrating lag screw fixation and two-screw stabilization of the syndesmosis. (c) Fluoroscopic lateral view confirming final hardware position and restored tibiotalar alignment. (d) Anteroposterior radiograph showing restored fibular length and alignment after reduction. (e) Oblique radiograph demonstrating improved mortise congruence with provisional mini-fragment plate fixation. (f) Lateral radiograph confirming anatomic reduction of the posteriorly displaced fibula.