Q-14 · Ankle Fractures · trauma · A–E keys

A trimalleolar fracture-dislocation is reduced. The ankle is massively swollen with fracture blisters. The next honest plan is:

• A.ORIF tonight because delay always worsens articular reduction
• B.Span if needed and delay definitive fixation until the envelope will tolerate it
• C.Close the skin under tension over a one-third tubular plate
• D.Discharge in a short boot with full weight bearing