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This medical exhibit portrays degeneration of the left ankle joint after repair of a talar fracture.  A lateral (side) skeletal view of the ankle displays the previously placed 5-hole plate and the degenerative changes. The subsequent graphics show the following intra-operative steps of the repair: 1. Incision into the lateral ankle; 2. Removal of fixation plate and debridement of the joint; 3. Placement of graft within the joint space; 4. Placement of long cannulated screw across the joint.