The Modified Posteromedial Approach to Posterior Malleolar Fractures

Abstract

Posterior malleolus fractures are known to be caused by a combination of rotation and impaction, resulting in a wide variety of fractures, as published by Bartonicek. Among them is the subgroup known as the "posterior pilon variant," in which the axial impaction mechanism plays a fundamental role. There is no consensus regarding appropriate surgical approaches for these fractures. We describe a posteromedial modified approach, as an alternative to treat posterior pilon malleolar fractures. This approach can be performed safely, with low complication rates and generally with favorable outcomes.Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Effect of individualized narrative nursing mode on recovery of elderly patients with fracture complicated with cerebrovascular accident

“…However, the improvement of physiological status is not obvious. [27,28] Combined with the results, the nursing satisfaction of the study group was higher. Study group FIM scores for upper limbs and lower limbs were significantly higher than FIM scores for other limbs.…”