Posterior Malleolus and Lateral Malleolus Fracture (Single Posterolateral Approach)

Mastering the approach to complex ankle fractures is a technical challenge for orthopedic surgeons. This training offers a technical immersion in the treatment of posterior malleolus fractures associated with high fibula lateral malleolus fractures, using a single curved posterolateral access and indirect reduction techniques.

Training Focus:

• Surgical treatment of posterior malleolus fracture and high fibula lateral malleolus fracture.
• Use of a single curved posterolateral access.
• Indirect reduction technique for the posterior malleolus.
• Fixation with interfragmentary screws and locked plate.

Detailed Content:

• Strategic Patient Positioning: Methodology for positioning in oblique lateral decubitus, allowing versatility in the approach and potential medial access.
• Optimized Fibula Approach: Tendon retraction technique for access to the lateral malleolus fracture, maintaining muscle integrity.
• Precise Anatomical Reduction: Use of clamps to achieve anatomical reduction of lateral malleolus fractures, with identification of vertices.
• Stable Fixation of the Lateral Malleolus: Sequence for provisional and definitive fixation with interfragmentary screws and a locked plate, avoiding joint screws.
• Direct Access to the Posterior Malleolus: Method for accessing the posterior malleolus through the same approach, breaking fascia and retracting tendons for visualization.
• Effective Indirect Reduction of the Posterior Malleolus: Demonstration of the indirect reduction technique of the posterior malleolus through plate accommodation and screw insertion, minimizing exploration.

Included Material:

• Detailed PDF: Technical summary of the surgical treatment of posterior malleolus fractures associated with high fibula fractures, describing patient positioning, the single posterolateral access approach, the technique for reduction and fixation of the fibula, and the approach and indirect reduction of the posterior malleolus.

Enhance your skills in ankle surgery. Enroll now and master advanced techniques in the treatment of posterior and lateral malleolus fractures.