This surgical procedure is used to correct a fracture
of the fibula or tibia in the ankle joint. The
procedure involves attachment of a fixation plate
made of stainless steel or titanium to the fibula and
use of screws or fixation plate on the tibia to
stabilize the bones and allow healing.
Preparation
The patient is positioned so that the the ankle is
clearly visible to the surgeon. An IV and anesthesia
is administered. The area is cleaned and sterilized.
Accessing the Ankle
If the fibula is fractured, an incision is made on the
outer side of the ankle to allow the physician
access to the fibula. Any small bone fragments
resulting from the fracture are removed.
Repairing the Fibula
A fixation plate is inserted into the ankle joint and

Repairing the Tibia
If the tibia is fractured, an incision is made on the
inner side of the ankle to allow the physician access
to the bone. Any small bone fragments resulting
from the fracture are removed.
Inserting the Screws
One or more surgical screws are inserted into the
bone. If the fracture is severe, a fixation plate may
also be needed.

End of Procedure and After Care
The incision is closed with sutures or surgical
staples. The ankle is bandaged and placed in a
splint. Eventually, patients will be required to wear a
cast or boot. Patients should avoid putting weight
on the foot for 3 to 10 weeks after the surgery.
Physical therapy may be needed before the patient can return to normal activities.

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