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Fractured (Broken) Ankle with Surgical Fixation. This surgical exhibit reveals the following images:.1. Orientation and pre-operative view of the right lower leg revealing fractures to the distal tibia and fibula. 2. Incision into the leg and ankle, 3. Placement of screws and an intramedullary rod into the tibia. 4. Final post-operative view of the fracture hardware in place.