Posterior Malleolus Fractures

作者：Tenenbaum Shay^*; Shazar Nachshon; Bruck Nathan; Bariteau Jason

来源：Orthopedic Clinics of North America, 2017, 48(1): 89-+.

DOI：10.1016/j.ocl.2016.08.004

• Posterior malleolar fractures
• Posterolateral surgical approach
• Syndesmotic stability
• Ankle fracture

Posterior malleolus fractures vary in morphology. A computed tomography scan is imperative to evaluate fragment size, comminution, articular impaction, and syndesmotic disruption. Despite an increasing body of literature regarding posterior malleolus fractures, many questions remain unanswered. Although, historically, fragment size guided surgical fixation, it is becoming evident that fragment size should not solely dictate treatment. Surgical treatment should focus on restoring ankle joint structural integrity, which includes restoring articular congruity, correcting posterior talar translation, addressing articular impaction, removing osteochondral debris, and establishing syndesmotic stability.

• 出版日期2017-1