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55y female pt closed twisting injury of thr ankle fit for sugery physically active diabetic ur opnion
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Ahmed Elnaggar If not associated with fracture m.m. Or deltoid ligament injury and no talar shift like in the plain x ray
You can go for cons. TTT -
Ahmad Nasr ORIF with 1/3 tubular as normal then very close follow up and special care for the skin ( we hat3ade isa tamam ) conserv. according to exp. Has no good results -
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Mohamed Mekawy Abd pronation (Web 2) orif is better post malluols is lntact! !! Mortes view is helpful for final decision -
Hossam Eldin Essa Mohammed ORIF is better to start ROM early but take care of possibility of inducing charcot joint -
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Raed Teleb Conservative ttt is possible with follow up weekly if not ok you don’t have another choice