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Ankle Fractures
Posted: Dec 19 2020 #(C101681)
B

Ankle Fracture-Dislocation 55F

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HPI

55-year-old female presents to the ED with complaints of right ankle after slipping on the ice while walking outside

PMH

No significant PMH

PE

+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.

Poll
1 of 11
In addition to the obtained radiographs, would you obtain any further imaging to guide your treatment?
Other
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P: 123802
If you choose to obtain a CT scan and the patient's skin is swollen, when would you obtain this?
Other
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P: 123805
Would you use a classification system for this injury to guide management?`
Other
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P: 123803
How would you definitively manage this patient?
Other
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P: 123804
If you choose Operative management, what technique would you use for definitive management?
Other
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P: 123806
If you choose Open reduction and internal fixation (ORIF), which fractures would you fix?
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P: 124076
If you choose Open reduction internal fixation (ORIF) with fixation of the LM + PM + MM, what approach(s) would you use?
Other
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P: 123807
If you choose Open reduction internal fixation (ORIF) of the LM + PM + MM, would you address the PM or LM first?
Other
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P: 123808
If you choose Open reduction and internal fixation (ORIF) of the LM + PM + MM how would you stabilize the PM?
Other
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P: 124077
If you choose Open reduction internal fixation (ORIF) of the LM + PM + MM, which construct would you use to address the MM?
Other
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P: 123809
If you choose Operative management and attained the construct shown below, how long would you keep the patient non-weightbearing post-operatively?
Other
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P: 123810
PROCEDURE #1

External fixation of the right ankle - CPT 20690

Intra-procedure P1
PROCEDURE #2

Open reduction and internal fixation of trimalleolar ankle fracture - CPT 27822

Intra-procedure P2
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