Share this article on:

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

doi: 10.1097/BTO.0000000000000049
Tips and Pearls

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.

*Warwick Medical School

University Hospital Coventry & Warwickshire, Coventry

Addenbrooke’s Hospital, Cambridge, UK

D.M. is supported by a National Institute for Health Research (NIHR) Academic Clinical Fellowship and S.I. by a British Orthopaedic Association (BOA) Transitional Fellowship.

The authors declare that they have nothing to disclose.

Address correspondence and reprint requests to David Metcalfe, BSc, LLB, MRCS, Warwick Orthopaedics, Clinical Sciences Building, University Hospital Coventry & Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK. E-mail:

© 2014 by Lippincott Williams & Wilkins