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This multi-image surgical exhibit features elements associated with the open reduction, internal and external fixation of multiple fractures to the tibia and fibula of the right lower leg. Specific images show:.1. Pre-operative fractures..2. Lateral incision with placement of plate and multiple screws..3. Medial incision with placement of additional screws..4. Final post-operative view showing the post-operative appearance with all internal hardware and an external fixator. .