Fig. 3From: Medial malleolus: Operative Or Non-operative (MOON) trial protocol - a prospective randomised controlled trial of operative versus non-operative management of associated medial malleolus fractures in unstable fractures of the ankleAnteroposterior radiograph of a supination-external rotation stage IV fracture at the time of injury and following fibular stabilisation. The medial malleolus has not reduced to acceptable limits, likely incarcerated by soft tissue. This patient would not be eligible for intra-operative randomisationBack to article page