This case involves a 29-year-old female in Washington D.C. who sustained an ankle injury after falling off a bike in a busy intersection. She underwent an open reduction of her dislocated ankle joint, an excisional debridement, and irrigation of open fractures in her ankle joint ligaments. The patient was given a two-week course of antibiotics and her cultures showed no growth. The patient subsequently developed vestibulopathy leading the patient to be left on disability. It was alleged that the patient developed vestibulopathy secondary to antibiotic toxicity. It was further alleged that changes were made to the pre- and post-op antibiotic protocol dictating that the antibiotics in question should not be prescribed for extended periods. An expert orthopedic surgeon was sought to review the medical records and discuss whether or not the standard of care was followed in this case.