Surgical treatment of Posterior Malleolus Fracture
Journal Title: Journal of Clinical Orthopaedics - Year 2018, Vol 0, Issue 0
Abstract
Introduction: Posterior malleolus fractures mostly occur in association with fractures of other malleoli. The current recommendation is fixation based on the size of the fragment. Materials & Methods: A retrospective study of 30 cases of posterior malleolus was conducted. There were 4 cases in type 1, 8 cases in Type 2, 7 cases in type 3, 10 cases in Type 4 and Type 5 there was one case. Type 1 were not operated, and type 5 were left alone in POP cast for 6 weeks. Type 2, 3 and 4 were operated either by cannulated cancellous screw by trans-Achilles approach, when the fragment was less than 20% of the surface area in 6 cases. When the surface exceeded 15% , those cases were treated with osteosynthesis by posterolateral approach using a buttress plate principle. Results: Good results were seen in all cases except one which develop post-operative infection and had early arthritis. Conclusion: Radiological studies are essential to plan, and posterolateral approach provides a good exposure for management of posterior malleolar fractures
Authors and Affiliations
Nicholas Antao, K. S. Kushalappa K. S. Kushalappa, Rajesh Hingwe, Ashish Upadhyay
Keywords
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