Fig. (1) (A & B): initial radiographs on presentation in the emergency department, showing a comminuted fracture-dislocation of the right ankle. There was a sagittal shear fracture of the medial tibial plafond with anteromedial dislocation of the talus; (C & D): ongoing dislocation of the right ankle despite multiple reduction attempts in the emergency department; (E & F): intra-operative radiographs showing final reduction achieved with external fixator applied.