• José Vicente Andrés-Peiró, Ferran Blasco-Casado, Carlos Alberto Piedra-Calle, Jordi Tomás-Hernández, Jordi Selga-Marsá, Yaiza García-Sánchez, and Jordi Teixidor-Serra.
• Department of Orthopaedic Surgery and Traumatology, Hospital Universitari Vall d'Hebron, Barcelona, Spain; Departmeng of Orthopaedic Surgery and Traumatology, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Electronic address: josevicente.andres@vallhebron.cat.
• Injury. 2024 Nov 1; 55 (11): 111761111761.

AbstractLarge posterolateral tibial fragments, known as Volkmann fractures, are common in ankle fracture-dislocations and typically require open reduction and fixation with interfragmentary screws and often buttress plates using a prone posterolateral approach. In this setting, fibula plating often necessitates dissection of the lateral window between the peroneal tendons and the skin, increasing wound-related complications. In recent years, intramedullary nailing of fibula fractures has gained popularity as a minimally invasive technique that allows load-sharing stabilization. However, this procedure has traditionally been performed in the supine position, which can pose challenges if a Volkmann-type fracture is present, requiring repositioning and losing access to the fibula through the posterolateral approach. Our objective is to describe a technique for fixing ankle fracture-dislocations with large posterolateral fragments using tibial buttress plates and fibula nails through a prone posterolateral approach without dissecting the lateral window. Additionally, we will present a case series with preliminary results.Copyright © 2024 Elsevier Ltd. All rights reserved.

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