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Patrick Ziegler BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland

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Christian Bahrs Schön Klinik Neustadt, Neustadt in Holstein, Germany

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Christian Konrads Department of Orthopaedic Surgery, University of Tübingen, Tübingen, Germany

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Philipp Hemmann BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Marc-Daniel Ahrend BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
AO Research Institute Davos, Davos Switzerland

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) transsyndesmotic fibula fracture with a medial malleolar fracture after closed reduction of the distal fibula and stabilization with a retrograde fibular nail and open reduction of the medial fracture and stabilization with a compression screw and a K

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Victor Lu School of Clinical Medicine, University of Cambridge, Cambridge, UK

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Maria Tennyson Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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Andrew Zhou School of Clinical Medicine, University of Cambridge, Cambridge, UK

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Ravi Patel Department of Trauma and Orthopaedics, Shrewsbury and Telford Hospital NHS Trust, UK

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Mary D Fortune Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK

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Azeem Thahir Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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Matija Krkovic Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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patient. Tibiotalocalcaneal (TTC) nailing is a viable alternative to ORIF. This involves the insertion of an intramedullary nail through the plantar surface of the calcaneus, subtalar, and tibiotalar joints into the tibial canal. Advantages include its

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Michael J Raschke Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Sabine Ochman Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Alexander Milstrey Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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comparison study of a modern fibular nail and distal fibular locking plate in AO/OTA 44C2 ankle fractures . Journal of Orthopaedic Surgery and Research 2016 11 100. ( https://doi.org/10.1186/s13018-016-0435-5 ) 35. Dingemans SA Lodeizen OAP Goslings

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Stefan Rammelt University Center of Orthopaedics & Traumatology, University Hospital Carl Gustav Carus, Dresden, Germany

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patients with vulnerable skin conditions, an intramedullary fibular nail may be used to minimise soft tissue compromise. 36 Another simple option to enhance fixation of the distal fibula is the use of a hook plate. 2 , 37 Cement augmentation

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Halah Kutaish Centre for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland
Faculty of Medicine, Geneva University, Switzerland

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Antoine Acker Centre for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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Lisca Drittenbass Centre for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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Richard Stern Centre for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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Mathieu Assal Centre for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland
Faculty of Medicine, Geneva University, Switzerland

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posterior plate need to be as close as possible to the tibiotalar joint and to the fibular incisura (lateral screw) but not through it. The power drill is navigated to ensure satisfactory fixation of the posterior plate screws in terms of trajectory and

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Mario Herrera-Pérez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
Department of Surgery, Universidad de La Laguna, Tenerife, Spain

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Victor Valderrabano Foot and Ankle Unit, Orthopaedic Department, Schmerzklinik, Basel, Switzerland
University of Basel, Basel, Switzerland

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Alexandre L Godoy-Santos Orthopaedic Department, Hospital Israelita, Sao Paulo, Brazil

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César de César Netto Director of the UIOWA Orthopedic Functional Imaging Research Laboratory (OFIRL), Iowa, USA
Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA

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David González-Martín Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
Department of Surgery, Universidad de La Laguna, Tenerife, Spain

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Sergio Tejero Foot and Ankle Unit, Hospital Universitario Virgen del Rocío, Sevilla, Spain
Department of Surgery, Universidad de Sevilla, Sevilla, Spain

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the most used option ( 54 ). Valgus ankle deformities are more commonly corrected by performing a medial closing wedge osteotomy combined with a fibular osteotomy ( 53 ). In cases with intra-articular varus or valgus asymmetric OA, extraarticular

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