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55-year-old female presents to the ED with complaints of right ankle after slipping on the ice while walking outside
No significant PMH
+TTP about the ankle with obvious gross deformity. No open wounds or skin tenting. Able to wiggle all toes. SILT throughout the foot. 2+ DP pulse with BCR in all toes.
External fixation of the right ankle - CPT 20690
Open reduction and internal fixation of trimalleolar ankle fracture - CPT 27822