Modern Views on Clinical Application of Posteromedial and Posterolateral Approaches in Posterior Malleolus Osteosynthesis in Case of Unstable Ankle Fractures

Abstract

malleolus simultaneously via the same approach reduces intraoperative soft tissue trauma. In modern traumatology open reduction and internal fixation of posterior malleolus is performed regardless of the fragment size. This is due to the fact that the displacement of intra-articular fragments is a factor typically leading to worse functional outcomes and can be eliminated by the surgeon. Posteromedial and posterolateral approaches provide good visualization of distal posterior tibia. Notably execution of these approaches is technically possible and is not associated with high risk of injury to vascular-nervous bundle and other anatomic structures.