Operative Treatment of Posterior Malleolar Fractures



Xiaojun Duan1, *, Anish R. Kadakia2
1 Center for Joint Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, P.R, China
2 Department of Orthopedic Surgery, Northwestern University – Feinberg School of Medicine, Chicago, IL 60611, USA


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© 2017 Duan and Kadakia.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Center for Joint Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, P.R, China, Tel: 0086-23-68765290; E-mail: duanxiaojun@hotmail.com


Abstract

Fractures of the posterior malleolus can occur in conjunction with fibular and medial malleolar fractures or in isolation. The indications for fixation of the posterior malleolus remain controversial except for the fragment sizes. A number of different surgical approaches and techniques for internal fixation of posterior malleolar fractures have been reported. Newer techniques such as direct exposure and plating of the posterior malleolus are chosen more frequently than traditional techniques of indirect reduction and percutaneous screw fixation. These attributes help to minimize the occurrence of postoperative complications.

Keywords: Ankle, Fracture, Operation, Approach, Treatment, Posterior Malleolar.