Management of Ipsilateral Tibia and Fibula Shaft Fracture with Trimalleolar Fracture: A Rare Case Report.

Introduction: Ipsilateral tibia and fibula shaft fractures with trimalleolar fracture are quite rare in clinical practice. Case Report: This is a case report of a 49-year-old female presented on March 6th, 2024, and was diagnosed to have an ipsilateral left comminuted distal tibia shaft and fibula shaft fracture with an anterior lacerated wound 2 cm over the fracture site with trimalleolar fracture after falling twice while walking. The patient was treated with wound debridement, intramedullary interlocking nailing for the left tibia shaft, and open reduction internal fixation with coracoclavicular screw for posterior malleolus, K-wires + FiberWire tension band wiring for medial malleolus, and K-wires for lateral malleolus on March 07th, 2024. K-wires from the lateral malleolus were removed and tibia nail dynamization was done on April 10th, 2024. All fractures united in 4 months and the patient was followed up for a period of 1 year post-operatively. Conclusion: Various treatment options were possible, of which we chose implants and a sequence of fixation based on the fracture pattern being comminuted and an open fracture.