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accident anatomy ankle arthritis aureus bone bones broken clinic comminuted corticotomy deformity diagnosis disable dislocation distal external fibula film fixation fixator foot fracture fractures frame ilizarov injury instruments leg managed management marsa medical metal operating operation orthopedic osteoarthritis pain plain plate proximal ray resection ring sclerotic sclertoic screw screws segment staphylococcus steel surgery tibia transfer trauma wire xray