In your submission, please include as many pre-operative and intra-operative images to tell the complete story of this case. If some time has passed and post-operative images exist, we would like those as well.

You may text, email or use a share folder to send the images to Nicole Carleo.

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1. Operating surgeon.

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2. Surgery date.

Date

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3. What was the patient's pre-injury ambulation status?

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4. What is the patient's post-injury ambulation status?

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5. Provide a summary of the patient's pre-operative assessment, including:
- Where the patient presented (ED/Clinic)
- Length of time between injury and surgery
- Mechanism of Injury
- Fracture Type/Classification
- Pain level prior to surgery
- Other injuries
- Any other relevant info

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6. Please check all the indications that apply to this pt/case.

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7. What is the surgeons rationale for surgical intervention?

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8. What is the surgeons rationale for using CurvaFix?

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9. Was the patient made immediate weight bearing post-surgery? If not, please explain.

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10. Any acute outcomes to report?

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11. Please provide any other case details that may be needed to tell the entire story.

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