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This 63-year-old female presented with severe left ankle pain after stepping off a sidewalk and twisting her ankle.
Uses tobacco, drink alcohol socially. Otherwise noncontributory.
Physical examination was significant for intact skin, no gross deformity, moderate swelling and global tenderness to palpation about the ankle, and an otherwise neurovascularly intact extremity with a 2+ symmetric DP pulse.
ORIF of pilon or tibial plafond w/fixation of TIBIA AND FIBULA (CPT 27828) and Open tx of syndesmosis, includes fixation (CPT 27829)