Ankle fractures: Getting it right first time.

Introduction: Ankle fractures are common injuries presenting to trauma departments and ankle open reduction and internal fixation (ORIF) is one of the first procedures targeted in early orthopaedic training. Failure to address the fracture pattern with the appropriate surgical technique and hardware may lead to early failure, resulting in revision procedures or premature degenerative change. Patients undergoing revision ORIF are known to be at much greater risk of complications and many of these secondary procedures may be preventable.

Avascular necrosis of the intermediate cuneiform bone.

We present a case of avascular necrosis of the intermediate cuneiform bone in a skeletal immature patient with a spontaneous recovery following conservative treatment. We discuss the aetiology and options of treatment.