Evidence Search

Posterolateral Approach to Posterior Malleolar Fractures: A Literature Review.

Foot & ankle specialist | 2023 | Heyes GJ, Khashkhusha TR, Mason L

[Indexed for MEDLINE] 10. J Clin Med. 2025 Feb 12;14(4):1216. doi: 10.3390/jcm14041216. Treatment Strategy for Posterior Malleolar Fractures: Different Operative Strategies Are Needed for Each Morphological Type. Cho BK(1), Subramanian SA(2), Hwang J(3), Lee C(4), Yune YP(5), Kim SJ(2), Choi SM(5). Author information: (1)Department of Orthopaedic Surgery, College of Medicine, C...

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

Archives of orthopaedic and trauma surgery | 2018 | Verhage SM, Hoogendoorn JM, Krijnen P, Schipper IB

[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, Northwester...

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

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca | 2026 | Kašák P, Čapek L, Beran T

[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 inform...

Computed tomography changes diagnosis, management and surgical planning of ankle fractures.

Musculoskeletal surgery | 2024 | Mansur NSB, Neves CMSCC, Celestino FS, Gonçalves JPP

[Indexed for MEDLINE] 18. Injury. 2017 Oct;48(10):2035-2041. doi: 10.1016/j.injury.2017.08.016. Epub 2017 Aug 9. What's new in ankle fractures. Toth MJ(1), Yoon RS(1), Liporace FA(1), Koval KJ(2). Author information: (1)Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, Jersey City Medical Center - RWJ Barnabas Health, Jersey City, NJ, United States. (2)Division...

Posterior malleolar fractures: Indications and surgical approaches.

Revista espanola de cirugia ortopedica y traumatologia | 2023 | Fernández-Rojas E, Herrera-Pérez M, Vilá-Rico J

[Indexed for MEDLINE] 2. J Am Acad Orthop Surg. 2013 Jan;21(1):32-40. doi: 10.5435/JAAOS-21-01-32. Posterior malleolus fracture. Irwin TA(1), Lien J, Kadakia AR. Author information: (1)Department of Orthopaedic Surgery, Division of Foot and Ankle Surgery, University of Michigan, Ann Arbor, MI, USA. Comment in J Am Acad Orthop Surg. 2014 Feb;22(2):67. doi: 10.5435/JAAOS-22-02-67...

[Translated article] Posterior malleolar fractures: Indications and surgical approaches.

Revista espanola de cirugia ortopedica y traumatologia | 2023 | Fernández-Rojas E, Herrera-Pérez M, Vilá-Rico J

[Indexed for MEDLINE] 4. Bone Joint J. 2018 May 1;100-B(5):566-569. doi: 10.1302/0301-620X.100B5.BJJ-2017-1440.R1. In defence of the posterior malleolus. White TO(1). Author information: (1)Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Edinburgh, UK. The posterior malleolus of the ankle is the object of increasing attention, with considerable enthusiasm for CT scanning...

[Fracture of the posterior malleolus : A paradigm shift].

Der Unfallchirurg | 2021 | Mittlmeier T, Saß M, Randow M, Wichelhaus A

[Indexed for MEDLINE] 9. Foot Ankle Spec. 2023 Apr;16(2):149-158. doi: 10.1177/19386400211009366. Epub 2021 Aug 5. Posterolateral Approach to Posterior Malleolar Fractures: A Literature Review. Heyes GJ(1), Khashkhusha TR(2), Mason L(1). Author information: (1)Consultant Trauma and Orthopaedic Surgeon, Liverpool University Hospitals NHS Foundation Trust, Aintree University Hosp...

Syndesmosis Stabilisation: Screws Versus Flexible Fixation.

Foot and ankle clinics | 2017 | Solan MC, Davies MS, Sakellariou A

[Indexed for MEDLINE] 6. OTA Int. 2019 Mar 19;2(2):e021. doi: 10.1097/OI9.0000000000000021. eCollection 2019 Jun. Posterior malleolus exposure. Meulenkamp B(1)(2)(3), Louati H(1)(4), Morellato J(1)(2), Papp S(1)(2)(3), Lalonde KA(1)(2)(3). Author information: (1)Division of Orthopaedic Surgery, The Ottawa Hospital. (2)Department of Surgery, Faculty of Medicine, University of Ot...

What's new in ankle fractures.

Injury | 2017 | Toth MJ, Yoon RS, Liporace FA, Koval KJ

[Indexed for MEDLINE] 19. Oper Orthop Traumatol. 2005 Oct;17(4-5):361-79. doi: 10.1007/s00064-005-1148-9. The transfibular approach for ankle arthrodesis. [Article in English, German] Flückiger G(1), Weber M. Author information: (1)University Clinic for Orthopedic Surgery, Inselspital Bern, CH-3010 Berne, Switzerland. Erratum in Oper Orthop Traumatol. 2005 Dec;17(6):673. OBJECT...

Posterior malleolus fracture.

The Journal of the American Academy of Orthopaedic Surgeons | 2013 | Irwin TA, Lien J, Kadakia AR

[Indexed for MEDLINE] 3. Rev Esp Cir Ortop Traumatol. 2023 Mar-Apr;67(2):T160-T169. doi: 10.1016/j.recot.2022.12.017. Epub 2022 Dec 24. [Translated article] Posterior malleolar fractures: Indications and surgical approaches. [Article in English, Spanish] Fernández-Rojas E(1), Herrera-Pérez M(2), Vilá-Rico J(3). Author information: (1)Equipo de Tobillo y Pie, Servicio de Traumat...

THE IMPORTANCE OF PREOPERATIVE CT IMAGING IN POSTERIOR MALLEOLUS FIXATION AND CLINICAL OUTCOMES

Orthopaedic Proceedings | 2026 | C. De Wet, R. Hackney, S. Middleton, R. Clayton

The treatment of ankle fractures with associated posterior malleolar fractures remains controversial. The aim of this retrospective study was to establish the importance of pre-operative CT imaging to identify fracture morphology and characterise die-punch fragment size and position. We aim to present clinical outcomes including infection, rates of revision and incidence of rad...

Trends in Posterior Malleolus Fixation and Subsequent Syndesmotic Repair in Trimalleolar Ankle Fractures

Journal of Orthopaedic Trauma | 2026 | Aditya Joshi, Jordan Helbing, Mark Haft, Ethan Harris

OBJECTIVES: To evaluate treatment trends for trimalleolar fractures, specifically assessing whether increased posterior malleolus fixation was associated with reduced syndesmotic repair. METHODS: Design: Retrospective cohort analysis Setting: PearlDiver (Mariner dataset) database (2010-2021) Patient Selection Criteria: Patients were stratified according to ICD-9/10 and CPT code...

Treatment Strategy for Posterior Malleolar Fractures: Different Operative Strategies Are Needed for Each Morphological Type.

Journal of clinical medicine | 2025 | Cho BK, Subramanian SA, Hwang J, Lee C

Conflict of interest statement: The authors declare no conflicts of interest. 11. Arch Orthop Trauma Surg. 2018 Sep;138(9):1213-1222. doi: 10.1007/s00402-018-2949-2. Epub 2018 May 12. When and how to operate the posterior malleolus fragment in trimalleolar fractures: a systematic literature review. Verhage SM(1)(2), Hoogendoorn JM(3), Krijnen P(4), Schipper IB(4). Author inform...

Clinical And Radiological Comparison between Direct Fixation vs. Indirect Fixation in posterior malleolus Fractures

The Egyptian Orthopaedic Journal | 2025 | Essam Mahmoud, Mohamed El-Tabey El-Gritly, Ahmed Mohamed El deriny

Classification and pathoanatomy of posterior malleolus fracture based on posterior malleolus-associated ligaments and ankle stability

Journal of Orthopaedic Translation | 2025 | Yongqi Li, Yi Liao, Rui Luo, Tian Zhao

Clinical Outcomes Following Posterior Malleolus Fixation in Trimalleolar Ankle Fractures: A Prospective Study

Malaysian Orthopaedic Journal | 2025 | Chaudhary SD, Lakhani KR, Andhale S, Sonkusale A

Trans-Achilles percutaneous fixation technique for posterior malleolus fracture: a cadaveric study

Journal of Orthopaedic Surgery and Research | 2024 | Hilal Yağar, Fatih Çiçek, Faruk Gazi Ceranoğlu, Hüseyin Karadağ

The Cunéo and Picot fracture-dislocation of the ankle: A case report and review of the literature.

Foot (Edinburgh, Scotland) | 2018 | Klumpp R, Compagnoni R, Zeppieri M, Trevisan CL

[Indexed for MEDLINE] 14. Injury. 2021 Apr;52(4):1023-1027. doi: 10.1016/j.injury.2020.12.006. Epub 2020 Dec 24. Outcomes of posterior malleolar fixation in ankle fractures in a major trauma centre. Jeyaseelan L(1), Bua N(1), Parker L(1), Sohrabi C(1), Trockels A(1), Vris A(1), Heidari N(1), Malagelada F(2). Author information: (1)Department of Trauma & Orthopaedics, The Royal...

Open fixation of the posterior malleolus increases the morbidity of trimalleolar ankle fracture fixation

European Journal of Orthopaedic Surgery & Traumatology | 2022 | Shreyaas Aravindan, Nicholas J. Tucker, Parker J. Prusick, Cyril Mauffrey

Challenges and Controversies in Foot and Ankle Trauma.

Instructional course lectures | 2021 | Harris TG, Pyle CW

[Indexed for MEDLINE] 8. Unfallchirurg. 2021 Mar;124(3):181-189. doi: 10.1007/s00113-021-00954-3. Epub 2021 Jan 29. [Fracture of the posterior malleolus : A paradigm shift]. [Article in German; Abstract available in German from the publisher] Mittlmeier T(1), Saß M(2), Randow M(2), Wichelhaus A(2). Author information: (1)Chirurgische Klinik und Poliklinik, Abt. für Unfall- Hand...

Outcomes of posterior malleolar fixation in ankle fractures in a major trauma centre.

Injury | 2021 | Jeyaseelan L, Bua N, Parker L, Sohrabi C

[Indexed for MEDLINE] 15. Injury. 2017 Jun;48(6):1269-1274. doi: 10.1016/j.injury.2017.03.016. Epub 2017 Mar 19. Direct fixation of fractures of the posterior pilon via a posteromedial approach. Hoekstra H(1), Rosseels W(2), Rammelt S(3), Nijs S(4). Author information: (1)University Hospitals Leuven, Department of Trauma Surgery, B-3000 Leuven, Belgium; KU Leuven - University o...

Posterior malleolus exposure.

OTA international : the open access journal of orthopaedic trauma | 2019 | Meulenkamp B, Louati H, Morellato J, Papp S

Conflict of interest statement: The authors have no conflicts of interest to disclose. 7. Instr Course Lect. 2021;70:139-162. Challenges and Controversies in Foot and Ankle Trauma. Harris TG, Pyle CW. Management of foot and ankle trauma continues to evolve and change. It is important to be informed about the latest challenges and controversies in management of these injuries, w...

In defence of the posterior malleolus.

The bone & joint journal | 2018 | White TO

[Indexed for MEDLINE] 5. Foot Ankle Clin. 2017 Mar;22(1):35-63. doi: 10.1016/j.fcl.2016.09.004. Syndesmosis Stabilisation: Screws Versus Flexible Fixation. Solan MC(1), Davies MS(2), Sakellariou A(3). Author information: (1)London Foot and Ankle Centre, Hospital of St John and St Elizabeth, 60 Grove End Road, London NW8 9NH, UK; Surrey Foot and Ankle Clinic, Mount Alvernia Hosp...

Surgical Treatment of Posterior Malleolus Fractures and Posterior Fixation

Techniques in Foot & Ankle Surgery | 2018 | Matthew Herring, Patrick Yoon

Posterior malleolar fractures (PMFs) have been demonstrated to result in poorer outcomes than other types of ankle fractures with a higher incidence of posttraumatic arthritis. Accordingly, there has been a recent surge in interest in reduction and fixation of PMFs. Operative criteria for PMFs have been based on size, step-off, ankle joint instability, and syndesmotic injury, t...

Operative Treatment of Posterior Malleolar Fractures.

The open orthopaedics journal | 2017 | Duan X, Kadakia AR

13. Foot (Edinb). 2018 Dec;37:11-15. doi: 10.1016/j.foot.2018.06.003. Epub 2018 Jun 18. The Cunéo and Picot fracture-dislocation of the ankle: A case report and review of the literature. Klumpp R(1), Compagnoni R(2), Zeppieri M(3), Trevisan CL(4). Author information: (1)ASST Bergamo Est, Ospedale "Bolognini", Seriate, Bergamo, Italy. Electronic address: rayklu@gmail.com. (2)ASS...

Direct fixation of fractures of the posterior pilon via a posteromedial approach.

Injury | 2017 | Hoekstra H, Rosseels W, Rammelt S, Nijs S

[Indexed for MEDLINE] 16. Acta Chir Orthop Traumatol Cech. 2026 Jan;92(6):350-361. doi: 10.55095/achot2025/028. [Surgical Treatment of a Posterior Malleolus Fracture: Literature Review]. [Article in Czech] Kašák P(1)(2), Čapek L(3), Beran T(4). Author information: (1)Oddeleni urgentni mediciny Krajske nemocnice Liberec, a.s. (2)Traumatologicko-ortopedicke centrum Krajske nemocn...

Impact of Computed Tomography on Operative Planning for Ankle Fractures Involving the Posterior Malleolus.

Foot & ankle international | 2017 | Donohoe S, Alluri RK, Hill JR, Fleming M

[Indexed for MEDLINE]

Comparison of Posteromedial Versus Posterolateral Approach for Posterior Malleolus Fixation in Trimalleolar Ankle Fractures

Orthopaedic Surgery | 2017 | Sheng Zhong, Lin Shen, Jia‐guo Zhao, Jie Chen

ObjectiveTo compare clinical and radiographic outcomes of posterior malleolar fractures (PMF) treated with lag screws from anterior to posterior versus posterior to anterior approach.MethodsWe retrospectively analyzed 48 patients with trimalleolar fractures who underwent open reduction and internal fixation (ORIF) with either posteromedial (PM) or posterolateral (PL) approaches...

Posterior Malleolus Fractures

Orthopedic Clinics of North America | 2017 | Shay Tenenbaum, Nachshon Shazar, Nathan Bruck, Jason Bariteau

Buttress Plating Versus Anterior-to-Posterior Lag Screws for Fixation of the Posterior Malleolus: A Biomechanical Study

Journal of Orthopaedic Trauma | 2016 | Chase Bennett, Anthony Behn, Adam Daoud, Sean Nork

Objectives: The preferred method of fixation for posterior malleolus fractures remains controversial, and practices vary widely among surgeons. The purpose of this study was to compare anterior-to-posterior (AP) lag screws with posterior buttress plating for fixation of posterior malleolus fractures in a human cadaveric model. Methods: Posterior malleolus fractures involving 30...

C1-C2 Posterior Fixation: Indications, Technique, and Results

Orthopedic Clinics of North America | 2012 | Mark E. Jacobson, Safdar N. Khan, Howard S. An

Posterior wall acetabular fractures: update on surgical indications, fixation techniques and outcome measurements

Current Orthopaedic Practice | 2009 | Greg M Osgood

The transfibular approach for ankle arthrodesis.

Operative Orthopadie und Traumatologie | 2005 | Flückiger G, Weber M

[Indexed for MEDLINE] 20. Foot Ankle Int. 2017 Dec;38(12):1337-1342. doi: 10.1177/1071100717731568. Epub 2017 Sep 28. Impact of Computed Tomography on Operative Planning for Ankle Fractures Involving the Posterior Malleolus. Donohoe S(1), Alluri RK(1), Hill JR(1), Fleming M(2), Tan E(1), Marecek G(1). Author information: (1)1 Department of Orthopaedic Surgery, Keck Medical Cent...

Pelvic Disruption

Journal of Orthopaedic Trauma | 1993 | Mark McAndrew, Ed Rutledge, James Pape, Chip Routt

Precise reduction and fixation of the posterior malleolus in ankle fractures

Journal unavailable | Martin Feranec