Rockwood Adults CH64

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CHAPTER 64 • Ankle Fractures

E

F

G

H

I

J

Figure 64-17.  ( Continued ) E: The incision is midway between the Achilles tendon and the fibula. The sural nerve and lesser saphenous vein are at risk and should be protected by blunt dissection through fat. F: The plane between FHL and the peronei is open exposing the posterior malleolar fracture. G: The fracture is reduced and stabilized with a K-wire. H: A buttress plate is then applied. I: The fibula fracture is secured with a posteriorly applied plate using the same incision. The peroneal tendons are retracted medially. J: The final construct.