Fig. 3

Prereduction (a, b) and postreduction (c anteroposterior; d lateral) radiographs from a 44-year-old man after traffic accident (typical Logsplitter injury). The CT plain scan (e, f) with three-dimensional reconstruction (g, h) revealed increased tibiofibular width and Volkmann fragments. During the surgery, Volkmann fragments were fixed using the cannulated screws (i); syndesmotic screw fixation was performed by screwing 3.5-mm syndesmotic screws (j. k); medial malleolus fragments were fixed using the cannulated screws (l). The anteroposterior (m) and lateral (n) radiographs at the final follow-up showed satisfactory reduction