Reconstruction of a traumatic lateral malleolus bone loss using the bone sliding technique: a case report (two years follow up)

Introduction
Traumatic lateral malleolar bone loss of the ankle joint is relatively uncommon event, it has a devastating impact on the ankle joint and can result in a permanent disability regarding the standing function stability, and the walking function mechanism. As management of this rare event is challenging, in literature; some authors discussed options of treatments including reconstructions options.
Design
As it is an uncommon injury, we discuss a case presented to us, as a case report with its sequences, and its two years follow-up.
Method
We describe a unique simple technique for the Reconstruction of a traumatic lateral malleolus bone loss using the bone sliding technique, which is described in the treatment of bone loss segment of other bone in literature¹, however not mentioned for lateral malleolus bone loss reconstruction.
Results
After two years follow-up; our patient has painless plantigrade stable ankle joint; painless stable standing function on his ankle, painless considerable ankle joint range of motion, and painless unaided walking function. The American Orthopaedic Foot and Ankle Society score was 86.
Conclusions
As it is an easy, not costly, and not jeopardizing or traumatizing remote donor site, we think our procedure is reliable for the treatment of similar cases whenever the lateral malleolus is traumatically lost or severely pathologically affected and need its excision.