CORRECTIVE OSTEOTOMY OF THE FIBULA IN POORLY HEALED BIMALLEOLAR FRACTURE

Abstract

Ankle fractures are among the most prevalent lower extremity fractures, with bimalleolar fractures accounting for 60% of cases. Proper classification using the Danis-Weber AO and Lauge-Hansen systems is crucial for guiding treatment decisions. This study presents a surgical approach for the correction of a bimalleolar fracture with fibular deformity, utilizing preoperative X-ray analysis and computer-aided calculations to determine the required osteotomy wedge dimensions. The procedure involved corrective osteotomy, plate fixation, and syndesmotic stabilization to restore anatomical alignment and joint stability. Surgical fixation remains the gold standard for unstable fractures, ensuring optimal functional outcomes. Postoperative rehabilitation plays a vital role in recovery, minimizing complications such as joint stiffness and arthritis. This case highlights the importance of precise preoperative planning, appropriate surgical techniques, and structured rehabilitation for successful management of ankle fractures.