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Michael Canales DPM, FACFA S Foot & Ankle Trauma: An Informative Glimpse at Management

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Page 1: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

Michael Canales DPM, FACFAS Foot & Ankle Trauma:

An Informative Glimpse at Management

Page 2: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

OOBJECTIVE Describe common surgical management and mismanagement scenarios for foot and ankle trauma •

SESSION OBJECTIVES • Following the presentation, the participant should be able to…

• 1. Identify the salient anatomy of the foot and ankle • 2. Describe classification schemes of common trauma to the ankle and foot • 3. Describe common surgical management and mismanagement scenarios of ankle and foot trauma

•

Page 3: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 4: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 5: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 6: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

Michael Canales

@MikeCanales1

[email protected]

Page 7: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 8: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 9: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 10: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 11: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 12: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 13: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 14: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 15: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 16: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 17: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 18: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 19: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

•Ohio state logo

Page 20: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 21: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 22: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 23: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 24: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 25: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 26: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 27: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 28: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 29: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

TIBIA FIBULA

TALUS

Page 30: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 31: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 32: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 33: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 34: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 35: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 36: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

TIBIA

FIBULA

Page 37: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 38: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 39: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 40: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 41: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

TIBIA FIBULA

TALUS

Page 42: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 43: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 44: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 45: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 46: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

187 ankle fractures per 100,000

Male predominance

44% of fractures secondary to moderate trauma

Daley et al. Acta Ortho Scanda 1997

Page 47: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 48: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 49: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 50: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 51: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 52: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 53: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 54: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 55: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 56: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 57: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 58: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

MALREDUCTION

DYSFUNCTION

Page 59: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

MALREDUCTION

Page 60: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

MALREDUCTION

Page 61: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

Diabetes

Us

Page 62: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

DIABETIC

Page 63: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 64: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 65: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 66: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

DDIABETIC ANKLE FRACTURES

Page 67: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

Diabetes Mellitus & Neuropathic ANKLE Fractures

AAMPUTATION of LIMB Connolly & Csencsitz (1998) 17.7% (1/6); several more near amputations Jani, etal (2003) 13% (2/16); 8% (1/13) closed fx McCormack & Leith (1998) 10.5% (2/19); both died Low & Tan (1995) 20% (2/10) Blotter etal (1999) 14% (3/21) White etal 2003 43% (6/14); open fractures

OVERALL RATE = 4 - 20(43)%

Page 68: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 69: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

So

Page 70: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 71: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 72: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 73: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 74: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 75: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 76: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 77: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
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Page 79: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
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Page 81: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 82: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 83: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 84: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

Fracture line traversing the weight bearing surface of the distal tibia

Page 85: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
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Page 90: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 91: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 92: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 93: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 94: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 95: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 96: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 97: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 98: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 99: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 100: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 101: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 102: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 103: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 104: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 105: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 106: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 107: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 108: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

1) SOFT TISSUE 2) OSSEOUS

Page 109: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
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Page 141: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 142: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 143: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

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Page 144: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 145: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 146: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

Michael Canales

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Page 147: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997
Page 148: Michael Canales DPM, FACFAS Foot & Ankle Trauma · 187 ankle fractures per 100,000 Male predominance 44% of fractures secondary to moderate trauma Daley et al. Acta Ortho Scanda 1997

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