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Ankle Fracture Repair - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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Ankle Fracture Repair - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: If a person breaks their ankle and the bones no longer line up with each other, a doctor may need to perform a surgical procedure to reposition and secure the bones. The ankle is the joint that connects the leg and the foot. The ankle joint includes the two lower leg bones, called the tibia and the fibula, and the ankle bone, called the talus. Together, the ends of the tibia and fibula create a mortise, or slot, for the talus, which forms the bottom of the ankle joint. Tissues called ligaments and tendons support the ankle bones. Ligaments attach bones to bones, and tendons attach muscles to bones. The ankle joint allows the foot to move up and down. Ankle injuries usually happen during athletic activities, falls, or car accidents. The most common type of ankle fracture occurs when the foot turns inward and the ankle rotates outward. If the fracture is stable the pieces of bone still line up in their normal position. In any type of fracture, more than one bone may break. In a displaced fracture, the pieces of bone no longer line up. If bone breaks through the skin it's known as a compound, or open, fracture. In addition to broken bones, the ankle may be sprained. This means the ligaments have been stretched or torn. If the ankle is very swollen the surgeon may delay a surgical procedure to allow the swelling to go down. During this time the surgeon may put the ankle in a splint to provide support. In addition, the surgeon may recommend elevating the ankle above the level of the heart and applying ice to it. To treat a stable ankle fracture, the health care provider may put the leg in a cast or boot to keep the ankle from moving so that the bones can heal together. Displaced and compound fractures with multiple broken bones and torn ligaments may require a surgical procedure. The most common surgical procedure to repair a displaced ankle fracture is called an open reduction with internal fixation. To begin, the surgeon will make an incision over the area of the fracture. The surgeon will open up the ankle to view the pieces of bone, and line them back up with each other. A plate and screws will be used to keep them aligned. Additional screws may be inserted through another incision to hold other fracture fragments in place. If the ligaments holding the tibia and fibula together are severely damaged, the surgeon will place a screw through both bones, or a suture device may be placed through both bones. Either of these devices will help hold the bones together while the ligaments heal. At the end of the procedure, the surgeon will close any skin incisions with stitches.

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What attorneys say about MLA and The Doe Report:
"I wanted to thank you for the terrific job you did illustrating my client's injuries. The case was settled at the pre-suit mediation, and I believe a good part of the success we had was due to the medical legal art you prepared.

Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the conclusion of mediation, and will be using it to train nurses on how to prevent bed sores..."

Steven G. Koeppel
Troy, Yeslow & Koeppel, P.A.
Fort Myers, FL

"[I] have come to rely upon the Doe Report and your great staff of illustrators for all my medical malpractice cases. … Please know that I enthusiastically recommend you to all my colleagues.

Frank Rothermel
Bernhardt & Rothermel
"Thank you for the wonderful illustrations. The case resulted in a defense verdict last Friday. I know [our medical expert witness] presented some challenges for you and I appreciate how you were able to work with him."

Robert F. Donnelly
Goodman Allen & Filetti, PLLC
Richmond, VA

"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY













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