Techniques in Orthopaedics

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Techniques in Orthopaedics:
doi: 10.1097/BTO.0000000000000049
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A Novel Percutaneous Technique for Reducing the Posterior Malleolar Fragment in Ankle Fractures

Metcalfe, David BSc, LLB, MRCS*,†; Isaac, Sherif FRCS(Orth); Krkovic, Matija MD

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Large posterior malleolar fragments should be fixed in the context of complex ankle fractures. Although this is typically achieved using an open posterolateral approach to the ankle, our case illustrates a novel percutaneous technique for reducing the posterior malleolar fragment. A good reduction was achieved and the patient was satisfied with his clinical outcome. At 13 weeks follow-up, reduction was maintained and there was radiographic evidence of fracture union. In complex ankle fractures, the posterior malleolus can be satisfactorily reduced percutaneously without need for open reduction.

© 2014 by Lippincott Williams & Wilkins


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