[Surgical Treatment of a Posterior Malleolus Fracture: Literature Review].

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Abstract

[Indexed for MEDLINE] 17. Musculoskelet Surg. 2024 Jun;108(2):183-194. doi: 10.1007/s12306-024-00814-4. Epub 2024 Mar 11. Computed tomography changes diagnosis, management and surgical planning of ankle fractures. Mansur NSB(1)(2)(3), Neves CMSCC(4), Celestino FS(4), Gonçalves JPP(4)(5), Pereira VF(4), Silva PDV(4)(5), Matsunaga FT(4), Nery CAS(4)(5), Astur DC(4). Author information: (1)Department of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, 740 Botucatu St, 1st Floor, São Paulo, SP, 04023-062, Brazil. nacimesbm@gmail.com. (2)Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. nacimesbm@gmail.com. (3)Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA. nacimesbm@gmail.com. (4)Department of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, 740 Botucatu St, 1st Floor, São Paulo, SP, 04023-062, Brazil. (5)Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. PURPOSE: To demonstrate how the use of adjunctive Computed Tomography (CT) can modify diagnosis, treatment options, and operative planning of ankle fractures in comparison with conventional radiographs (CR) in isolation. MATERIALS AND METHODS: A total of 53 patients diagnosed with an ankle fracture between 2011 and 2016, were assessed with CT and CR. Evaluations of the fractures using CR in isolation and CR combined with CT were compared using different readers. Fractures were assessed in terms of type, displacement, size, associated injuries, treatment, patient position and surgical planning. RESULTS: The medial malleolus fractures characteristics (posteromedial fragment and anterior colliculus), the presence of posterior malleolus fracture and its characteristics (displacement, size, posteromedial or posterolateral segment) (ps