Endoscopic-Assisted Fibula Reduction With Full Percutaneous Fixation of Ankle Fracture Dislocation

Ankle fracture is one of the most commonly encountered fractures. Open reduction and internal fixation is the gold standard of treatment. However, minimally invasive fixation of ankle fracture is gaining popularity among foot and ankle surgeons as the result of recent advances in ankle arthroscopic techniques. Despite this, there are limited reports on endoscopic assessment of fibula fracture. In this Technical Note, we describe an endoscopic-assisted fibula reduction with full percutaneous fixation of ankle fracture dislocation. Patients with noncomminuted fibula fracture or poor soft-tissue condition may be more indicated for minimally invasive ankle fracture fixation. This technique can provide better visualization of fibula fracture during percutaneous fixation and may result in less soft-tissue trauma.