Fracture gap of the lateral malleolus via posterolateral approach: Improved visualization of the posterior malleolus fracture |
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| Affiliation: | 1. Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne;2. Center for Orthopedics and Trauma Surgery, Philipps University Marburg;3. Department of Health Science and Medicine, University of Lucerne;1. Department of Orthopaedic Surgery, Shanghai Sixth People''s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 600 YiShan Road, Shanghai 200233, China;2. Department of Emergency Medicine, Shanghai Sixth People''s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 600 YiShan Road, Shanghai 200233, China;3. Department of Orthopaedic and Physical Medicine, Medical University of South Carolina, Charleston, SC, 29425, United States of America;4. Orthopaedic Biomechanical Laboratory, Department of Orthopaedic Surgery, Shanghai Sixth People''s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 600 YiShan Road, Shanghai 200233, China;1. Department of Orthopedics, University of Colorado Anschutz Medical Campus, Denver, CO, 13001 E. 17th Place, Aurora, CO 80045-2581, United States;2. Colorado Program for Musculoskeletal Research, Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO, United States;1. Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brazil;2. St. Joseph University, Dept. of Orthopedic Surgery, Hotel Dieu de France Hospital, Alfred Naccache Blvd, Beirut, Lebanon;3. University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta T2N 5A1, Canada |
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| Abstract: | 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. |
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