Evidence Search

Historic indications for fixation of posterior malleolus fractures- where did they come from and where are we now?

Injury | 2024 | Hunt AA, Maschhoff C, Van Rysselberghe N, Gonzalez CA

[Indexed for MEDLINE] Conflict of interest statement: Declaration of competing interest Dr. Julius Bishop receives royalties or licenses from Innomed and consulting fees from Stryker. He is treasurer of the Western Orthopaedic Association 10. Eur J Trauma Emerg Surg. 2015 Dec;41(6):587-600. doi: 10.1007/s00068-015-0560-6. Epub 2015 Aug 8. Posterior malleolar fractures of the an...

Posterolateral Approach to Posterior Malleolar Fractures: A Literature Review.

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

[Indexed for MEDLINE] 15. 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 information: (1)Department of Surgery, HMC Westeinde, Secretar...

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] 16. Chin Med J (Engl). 2013 Oct;126(20):3972-7. Advances and disputes of posterior malleolus fracture. Fu S(1), Zou ZY, Mei G, Jin D. Author information: (1)Department of Orthopaedics and Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China. OBJECTIVE: The objective of this article is to summarize the development...

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] 6. 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...

Current management of trimalleolar ankle fractures.

EFORT open reviews | 2021 | Pflüger P, Braun KF, Mair O, Kirchhoff C

Conflict of interest statement: ICMJE Conflict of interest statement: The authors declare no conflict of interest relevant to this work. 8. 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...

[Open reduction and internal fixation of posterior malleolus fractures].

Operative Orthopadie und Traumatologie | 2021 | Baumbach SF, Böcker W, Polzer H

[Indexed for MEDLINE] 13. 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- Han...

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

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

[Indexed for MEDLINE] 14. 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 Hos...

Indications and Surgical Treatment of Acute and Chronic Tibiofibular Syndesmotic Injuries with and Without Associated Fractures.

Foot and ankle clinics | 2021 | Swords MP, Shank JR

[Indexed for MEDLINE] Conflict of interest statement: Disclosure The authors have nothing to disclose. 18. Foot Ankle Int. 2020 Jan;41(1):115-120. doi: 10.1177/1071100719891978. Epub 2019 Dec 11. Posterior Arthroscopic Reduction and Internal Fixation for Treatment of Posterior Malleolus Fractures. Martin KD(1). Author information: (1)Evans Army Community Hospital, Fort Carson,...

What's new in ankle fractures.

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

[Indexed for MEDLINE] 5. 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...

Syndesmosis Stabilisation: Screws Versus Flexible Fixation.

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

[Indexed for MEDLINE] 9. Injury. 2024 Jun;55(6):111537. doi: 10.1016/j.injury.2024.111537. Epub 2024 Apr 6. Historic indications for fixation of posterior malleolus fractures- where did they come from and where are we now? Hunt AA(1), Maschhoff C(2), Van Rysselberghe N(3), Gonzalez CA(4), Goodnough H(3), Gardner M(3), Bishop JA(3). Author information: (1)Stanford University, De...

Posterior malleolar fractures of the ankle.

European journal of trauma and emergency surgery : official publication of the European Trauma Society | 2015 | Bartoníček J, Rammelt S, Tuček M, Naňka O

[Indexed for MEDLINE] 11. 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, which include ankle fractures, calcaneus fractures, Lisfranc inju...

Posterior malleolus fracture.

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

[Indexed for MEDLINE] 3. 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...

Advances and disputes of posterior malleolus fracture.

Chinese medical journal | 2013 | Fu S, Zou ZY, Mei G, Jin D

[Indexed for MEDLINE] 17. Foot Ankle Clin. 2021 Mar;26(1):103-119. doi: 10.1016/j.fcl.2020.10.006. Epub 2020 Dec 13. Indications and Surgical Treatment of Acute and Chronic Tibiofibular Syndesmotic Injuries with and Without Associated Fractures. Swords MP(1), Shank JR(2). Author information: (1)Michigan Orthopedic Center, 2815 Pennsylvania Avenue, Suite 204, Lansing, MI 48823,...

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...

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]

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] 12. Oper Orthop Traumatol. 2021 Apr;33(2):112-124. doi: 10.1007/s00064-021-00705-y. Epub 2021 Mar 25. [Open reduction and internal fixation of posterior malleolus fractures]. [Article in German; Abstract available in German from the publisher] Baumbach SF(1), Böcker W(2), Polzer H(3). Author information: (1)Sektion Fuß- und Sprunggelenkchirurgie Campus Gro...

Posterior Arthroscopic Reduction and Internal Fixation for Treatment of Posterior Malleolus Fractures.

Foot & ankle international | 2020 | Martin KD

[Indexed for MEDLINE] 19. 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...

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. 4. 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 -...

In defence of the posterior malleolus.

The bone & joint journal | 2018 | White TO

[Indexed for MEDLINE] 7. EFORT Open Rev. 2021 Aug 10;6(8):692-703. doi: 10.1302/2058-5241.6.200138. eCollection 2021 Aug. Current management of trimalleolar ankle fractures. Pflüger P(1), Braun KF(1)(2), Mair O(1), Kirchhoff C(1), Biberthaler P(1), Crönlein M(1). Author information: (1)Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munic...

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

20. 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...

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

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