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. 2019 Nov 21;17(6):363–374. doi: 10.1007/s11914-019-00535-9

Fig. 1.

Fig. 1

77-year-old female with bilateral complex displaced ankle fractures (a, b) and an associated Lisfranc injury in the left foot (b). Due to vulnerable soft tissue conditions, the right ankle was fixed using open reduction and internal angle-stable plate osteosynthesis of the distal fibula, temporary ankle joint Kirschner wire fixation, and lag screw fixation of the medial malleolus (c). The complex fracture on the left required primary transarticular tibiotalocalcaneal nailing (d)