 |  |  |
| The Arthroscopic set up | The camera (left) and arthroscopic shaver (right) (Smith and Nephew). The inside of the joint is shaved out. | A guide wire being placed across the ankle prior to screw fixation. |
 |  |  |
| A large guide wire being placed across the ankle. | A second parallel guide wire being placed across the ankle (from the medial tibia to the talus) | Checking the guide wires position |
 |  |  |
| Inserting the cannulated (hollow) screws over the guide wire. | Insertion of the second screw. Guide wires are then removed. | The wounds after closure. |
