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Bone Joint J. 2017 Nov;99-B(11):1413-1419. doi: 10.1302/0301-620X.99B11.BJJ-2017-1072.

Posterior malleolus fractures: worth fixing.

Author information

1
Royal Surrey County Hospital, Egerton Road, Guildford, Surrey GU2 7XX, UK.
2
Frimley Park Hospital, Portsmouth Road, Frimley, Surrey GU16 7UJ, UK.

Abstract

The posterior malleolus component of a fracture of the ankle is important, yet often overlooked. Pre-operative CT scans to identify and classify the pattern of the fracture are not used enough. Posterior malleolus fractures are not difficult to fix. After reduction and fixation of the posterior malleolus, the articular surface of the tibia is restored; the fibula is out to length; the syndesmosis is more stable and the patient can rehabilitate faster. There is therefore considerable merit in fixing most posterior malleolus fractures. An early post-operative CT scan to ensure that accurate reduction has been achieved should also be considered. Cite this article: Bone Joint J 2017;99-B:1413-19.

KEYWORDS:

Ankle fracture; Posterior malleolus fracture

[Indexed for MEDLINE]

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