When and how to operate the posterior malleolus fragment in trimalleolar fractures: a systematic literature review.

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Abstract

[Indexed for MEDLINE] 12. Open Orthop J. 2017 Jul 31;11:732-742. doi: 10.2174/1874325001711010732. eCollection 2017. Operative Treatment of Posterior Malleolar Fractures. Duan X(1), Kadakia AR(2). Author information: (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. 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. DOI: 10.2174/1874325001711010732 PMCID: PMC5620409