Foot & ankle international
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Trimalleolar fractures usually include a lateral malleolar fracture, a triangular fracture of the posterolateral corner of the tibial plafond, and a horizontal or oblique fracture of the medial malleolus. A subtype of a trimalleolar fracture is reported, differing in the shape and extent of the medial malleolar fracture and the posterior lip fracture, with implications for treatment. ⋯ This unique subtype of trimalleolar fracture has distinct radiological features and implications for the strategy of the operative treatment. If recognized immediately and treated appropriately, the results were excellent. If missed initially, reconstructive osteotomy was possible and led to a good result.