Lateral Malleolus Fracture with Wagstaffe Fragment

The treatment of lateral malleolus fractures can be complex due to the presence of avulsed fragments that compromise syndesmotic stability. This training offers a technical immersion in the surgical approach to lateral malleolus fractures with Wagstaffe fragment, presenting a fixation protocol to restore the ankle joint integrity and allow for functional recovery.

Training Focus:

• Identification and management of the Wagstaffe fragment in lateral malleolus fractures.
• Fixation technique for the Wagstaffe fragment with double compression screws.
• Stabilization of the lateral malleolus fracture with a locked plate.
• Principles of 360-degree fixation of the ankle.
• Management of avulsed syndesmotic fragments (e.g., Tillaux-Chaput).

Detailed Content:

• Accurate Diagnosis: Methodology to identify the Wagstaffe fragment in X-rays, recognizing its significance in syndesmotic instability.
• Strategic Fixation of the Wagstaffe Fragment: Detailed approach for fixation of the fragment with two double compression screws, aiming for anterolateral stabilization of the syndesmosis.
• Comprehensive Stabilization of the Malleolus: Technique for stabilizing the lateral malleolus fracture with a locked plate, ensuring correction of the fracture and associated ligament injury.
• 360º Fixation Principle: Application of the complete ankle fixation concept, including the approach to avulsed fragments such as the Tillaux-Chaput fragment, to ensure that no syndesmotic injury is overlooked.
• Results Optimization: Techniques to ensure a reduced and stable articulation, with well-positioned implants and no prominence.
• Optimized Surgical Closure: Layered closure protocol, following dermographic markings for a favorable aesthetic result.

Included Material:

• Detailed PDF: Technical summary of the surgical treatment of lateral malleolus fractures with Wagstaffe fragment. Includes the importance of the fragment in syndesmotic instability, the fixation technique with double compression screws, stabilization of the malleolus with a locked plate, and the concept of 360-degree ankle fixation, also addressing the Tillaux-Chaput fragment if present.

Enhance your skills in the treatment of ankle fractures.Sign up now and master the techniques for managing lateral malleolus fractures with Wagstaffe fragment.