Fracture Gap of the Lateral Malleolus via Posterolateral Approach: Improved Visualization of the Posterior Malleolus Fracture

The treatment of posterior malleolar fractures is a popular issue. Anatomic reduction of posterior malleolar fractures is critical for re-establishing the stability of the ankle mortise and ligamentous union after trauma. Inappropriate treatment ultimately leads to poorer functional outcomes and low...

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Bibliographic Details
Published in:Injury 2022-11, Vol.53 (11), p.3849-3852
Main Authors: Chen, Dong-liang, Liu, Peng, Zheng, Liang-xiao, Zhu, Zhao-hui, Zhang, Zeng-fang
Format: Article
Language:English
Subjects:
Ankle Fractures - diagnostic imaging
Ankle Fractures - surgery
Ankle Joint - diagnostic imaging
Ankle Joint - surgery
Fibula
Fracture Fixation, Internal
fracture gap
Humans
posterior malleolus
posterolateral approach
Quality of Life
reduction
Treatment Outcome
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Summary:The treatment of posterior malleolar fractures is a popular issue. Anatomic reduction of posterior malleolar fractures is critical for re-establishing the stability of the ankle mortise and ligamentous union after trauma. Inappropriate treatment ultimately leads to poorer functional outcomes and lower quality of life. Open reduction and internal fixation through a posterolateral approach are preferred over indirect reduction and anterior-posterior screw fixation. Although the posterolateral approach, which is more common and direct, provides good exposure to the fracture site, it has some limitations. In this report, we describe the posterolateral approach through the lateral ankle fracture gap for the treatment of posterior ankle fractures. Moreover, we discuss the indications, benefits, and limitations of this approach.
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2022.08.051