Figure 4

Radiological and intra-operative data's of Case 3. Anteroposterior and lateral radiographs of the ankle of a 33-year-old male who had sustained a comminuted talar body fracture as the result of a fall from a height. Fractures were identified at the right tibia pilon (AO/OTA type C1), lateral malleolar fracture and talus body (OTA class. 81 C3) (A). CT scanning revealed severe comminution of the posterior part of the body (B). Intraoperative photographs demonstrate an anterior approach the fractures are seen before and after the reduction. The fractures were fixed with multiple headless compression screw and locking plate system for distal tibia (C). Postoperative anteroposterior and lateral plain radiographs (D). 12 months later, the fracture had united with a minimal degenerative changes in ankle joint and without evidence of osteonecrosis (E).