A retrospective study of posterior malleolus fractures

Abstract

For all 102 cases of ankle joint fracture involving the posterior malleolus, the treatment effect was satisfactory. Restoration of an even articular surface, especially when fragment size ≥ 25 %, should be attempted during treatment.

Importance of Fixation of Posterior Malleolus Fracture in Trimalleolar Fractures: A Retrospective Study

“…[23] In this study, we also found significant difference between injured and uninjured side when comparing dorsiflexion.…”

Longterm outcome of 886 posterior malleolar fractures: A systematic review of the literature

“…1). A total of 19 studies met our inclusion criteria and were included for data analysis (Table 1) [1,6,7,11,12,[19][20][21][22][23][24][25][26][27][28][29][30][31][32]. There were five level II studies [1,19,20,26,29], 11 level III studies [6,7,12,[21][22][23]25,27,28,31,32], and three level IV studies [11,24,30].…”

“…The American Orthopaedic Foot and Ankle Society (AOFAS) foot score [33] was used to evaluate the outcome of treatment in 230 patients (230 fractures) in seven studies [1,21,24,26,[30][31][32]. The mean score was 74 (range, 63-92, maximum 100) in all patients, treated either operatively or conservatively.…”

“…Conservatively treated patients scored 2.6 and operatively treated patients scored 2.9. The AOFAS score (range 0-100, positive score 100, measuring subjective and objective outcome) was used by one study to compare long term outcome between conservative (60 patients) and operative treatment (42 patients) [32]. The mean score of all patients was 95.9.…”

Interobserver variation in classification of malleolar fractures

“…Another additional difficulty in ankle fractures is the presence and assessment of posterior malleolar fractures. Additional treatment of posterior fractures depends, according to most of the literature, on the size and dislocation of the posterior fragment [11][12][13][14]. This study compares the interobserver variation of the most commonly used ankle fracture classification systems.…”