Lateral Malleolus Fracture with Posterior Plate (Plan B)

Enhance the management of isolated lateral malleolus fractures, especially those with a multifragmentary component. This training offers a technical immersion in osteosynthesis with a posterior plate as an adaptive strategy, presented in high-resolution video from a surgical perspective, focusing on the flexibility of intraoperative planning and early mobility.

Training Focus:

• Surgical treatment of isolated lateral malleolus fractures with a fragmentary component.
• Osteosynthesis technique with a posterior plate for shear control.
• Subperiosteal dissection for tissue preservation and implant protection.
• Strategies for adaptation and changes in intraoperative planning.

Detailed Content:

• Strategic Patient Positioning: Optimization of the surgical field and facilitation of access for the surgeon.
• Lateral Surgical Access: Ensures a clean field and precise identification of the fracture.
• Optimized Subperiosteal Dissection: Methodology with internal scalpel to maintain the integrity of the periosteum, protecting the implant and vascularization.
• Anatomical Reduction by "Fracture Teeth": Technique to accurately identify and coapt the fragments.
• Adaptive Strategy with Posterior Plate: Approach to manage complex and fragmented fractures, ensuring stability and reduction.
• Plate Traction Screw Fixation: Strategic positioning of the screw for fracture stabilization through compression.
• Distal Plate Modeling: Prevention of irritation of fibular tendons, optimizing postoperative comfort.
• Closure over the Plate with Intact Periosteum: Protection of osteosynthesis and maintenance of local vascularization.
• Aesthetic Closure: Application of suture technique for superior cosmetic results.
• Detailed 4K Visualization (Surgical Perspective): High-resolution analysis of surgical steps with anatomical and instrumental details.
• Post-Procedure Analysis of Intraoperative Decisions: Critical understanding of surgical choices and their foundations.

Included Material:

• Detailed PDF: A concise summary of the procedure, including: condition (isolated fracture of the lateral malleolus with fragmentary component), patient positioning, details of the formal lateral access, subperiosteal dissection technique, steps for reduction and definitive fixation with a posterior plate, as well as fine adjustments and the closure protocol for functional and aesthetic results.

Master the surgical treatment of lateral malleolus fractures. Sign up now and enhance your skills with the posterior plate technique.