TechniquesThe Modified Posteromedial Approach to Posterior Malleolar FracturesHube Laurent, Maximiliano MD*; Urbina Bahamonde, Christian MD†; Vargas Gallardo, Fernando MD†; Bravo Gallardo, Francisco MD†; Parra Henrriquez, Mauricio MD†; Lagos Sepúlveda, Leonardo MD†; Bastías Soto, Christian MD† Author Information *Foot and Ankle Unit, Hospital del Trabajador †Foot and Ankle Unit, Hospital Clínico Mutual de Seguridad, Santiago, Chile The authors declare no conflict of interest. Address correspondence and reprint requests to Maximiliano Hube Laurent, MD, Foot and Ankle Unit, Hospital del Trabajador, Ramón Carnicier 285, Santiago 7500000, Chile. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: June 2022 - Volume 21 - Issue 2 - p 95-101 doi: 10.1097/BTF.0000000000000323 Buy Metrics 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. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.