• Injury · Nov 2022

    Fracture gap of the lateral malleolus via posterolateral approach: Improved visualization of the posterior malleolus fracture.

    • Dong-Liang Chen, Peng Liu, Liang-Xiao Zheng, Zhao-Hui Zhu, and Zeng-Fang Zhang.
    • Department of Hand and Foot Surgery, Orthopedic Center, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, China.
    • Injury. 2022 Nov 1; 53 (11): 384938523849-3852.

    AbstractThe 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.Copyright © 2022. Published by Elsevier Ltd.

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