03/26/2026
Case Study: workers compensation injury, Diagnosis: Non union of ankle fracture of medial malleolus. Not treated for over five months, severe pain and swelling, continued working with no treatment. This patient also has an avulsion fracture of the anterior talo/fib ligament (ATF) Open reduction internal fixation of the medial malleolus with screw fixation will be needed. Surgery may also be needed to address the lateral ankle joint, for lateral instability or countries pain DrTotten.com.