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Updated: Jan 23, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Surgical Reconstruction of an Open Medial Malleolus Fracture Using a Novel Technique: A Case Report
Ren Yi Kow1, Jin Chuan Yuen1, Akmal Azim Ahmad Alwi2
1Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Pahang, Malaysia.
Case:
A 17-year-old male sustained an open fracture of the right medial malleolus (MM) with significant bone and soft tissue loss following a motor-vehicle accident. Following serial wound debridement, his ankle was effectively reconstructed with MM antiglide plate stabilization, iliac autogenous bone graft, and a free radial forearm soft tissue flap.
Conclusions:
Open MM fracture with bone and soft tissue loss is rare. It is feasible to treat this injury with a novel surgical reconstruction technique involving autogenous bicortical iliac bone graft and radial forearm free flap.
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