[HTML][HTML] Trimalleolar fracture: The endless posterior malleolus fracture debate, to repair or not to repair?

K Nasrallah, B Einal, H Shtarker - Orthopedic Reviews, 2021 - ncbi.nlm.nih.gov
Ankle fracture is one of the most common fractures presenting in the emergency department.
The fracture varies from unimalleolar, bimalleolar or trimalleolar. Involvement of the posterior …

Persistent postoperative step-off of the posterior malleolus leads to higher incidence of post-traumatic osteoarthritis in trimalleolar fractures

SM Verhage, P Krijnen, IB Schipper… - Archives of Orthopaedic …, 2019 - Springer
Background Traditionally, size of the posterior fragment is considered the most important
indicator for fixation in trimalleolar fractures. It remains unclear which factors contribute to …

Current concepts in ankle fractures

PJ Tansey, J Chen, VK Panchbhavi - Journal of Clinical Orthopaedics and …, 2023 - Elsevier
Ankle fractures are among the most common orthopaedic injuries. Operative management is
performed in unstable ankle fracture patterns to restore the stability and native kinematics of …

Traditional approach vs posterior approach for ankle fractures involving the posterior malleolus

K Pilskog, TB Gote, HEJ Odland… - Foot & Ankle …, 2021 - journals.sagepub.com
Background: In the past, posterior malleolus fragments (PMFs) commonly have been
indirectly reduced and fixed when fragments involve 25% or more of the tibial articular …

Posterolateral approach for posterior malleolus fixation in ankle fractures: functional and radiological outcome based on Bartonicek classification

L Yang, G Yin, J Zhu, H Liu, X Zhao, L Xue… - Archives of Orthopaedic …, 2023 - Springer
Introduction Posterolateral approach has been advocated for the treatment of ankle fractures
involving the posterior malleolus and satisfactory results were demonstrated in several …

Comparison of the efficacy of posterior-anterior screws, anterior-posterior screws and a posterior-anterior plate in the fixation of posterior malleolar fractures with a …

Z Wang, J Sun, J Yan, P Gao, H Zhang, Y Yang… - BMC musculoskeletal …, 2020 - Springer
Background Different fixation methods have been used to treat posterior malleolar fractures
(PMFs), but the clinical efficacy of different fixation methods in the treatment of PMF with …

Variation in posterior fragment fixation in the Netherlands: a nationwide study

SM Verhage, JM Hoogendoorn, P Krijnen… - European Journal of …, 2023 - Springer
Purpose The treatment of the posterior fragment in trimalleolar fractures differs from hospital
to hospital in the Netherlands. A nationwide survey was performed to evaluate the fixation …

Trimalleolar fractures treated by open reduction internal fixation compared with arthroscopically assisted reduction and minimally invasive surgery

TFA Chou, YH Tzeng, MH Teng… - Foot & Ankle …, 2023 - journals.sagepub.com
Background: Currently, the standard of treatment for trimalleolar (TM) fracture is
osteosynthesis through open reduction and internal fixation (ORIF). This study assessed …

Open reduction and internal fixation of the posterior malleolus fragment via the posterolateral approach is radiologically superior to 'A to P'screw fixation

SM Verhage, A Leijdesdorff, IB Schipper… - The Foot, 2022 - Elsevier
Purpose Functional outcome in trimalleolar fractures is largely correlated to the reduction of
the posterior fragment. Until recently, fixation was mainly performed for large fragments, by …

Evaluation of ankle fractures in 228 patients from a single center using three-dimensional computed tomography mapping

J Zeng, C Xu, G Xu, W Zhang, D Wang, H Li… - … in Bioengineering and …, 2022 - frontiersin.org
Purpose: The ankle joint has a complex anatomy structure with many causative factors and
various injury mechanisms, and the clinical presentation of ankle fractures is diverse. This …