Fractures of the medial and lateral malleoli are frequently associated with fractures of
the posterior malleolus, comprising trimalleolar fractures. The posterior fragment may be
posteromedial or posterolateral and its size determines the necessity for surgical or
non-surgical treatment. The authors describe a case of trimalleolar fracture with double
involvement of the posterior malleolus, both a posteromedial and posterolateral fragment.
A modified transmalleolar operative approach for internal fixation is recommended when
dealing with such complex trimalleolar fractures of the ankle.
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References
1.
. BrunnerC.F.WeberB.G.: Special Techniques in Internal Fixation.
Berlin, New York,
Springer-Verlag, 1982.
2.
. GeisslerW.B., TsaoA.K.HughesJ.L.: Fractures of the ankle. In Rockwood and
Green's Fractures in Adults, pp. 2201. Edited by RockwoodCA, GreenDPBucholzRW. Ed. 4,
Philadelphia, JB
Lippincott, 1996.
3.
.
KarachaliosTh., PearseM.F., SarangiP.AtkinsR.M.: Dislocation of the intact fibula with fracture of
the medial malleolus. J Bone Joint Surg.,
75-B: 833-834,
1993.
. MullerM.E., NazarianS., KochP.SchatzkerJ.: The comprehensive classification of fractures of long
bones. Berlin, New York,
Springer-Verlag, 1990.
6.
. TileM.: Fractures of the ankle. In The
Rationale of Operative Fracture Care, pp.
523–561. Edited by SchatzkerJ. and TileM.. Ed.2, Berlin, New
York, Springer-Verlag,
1996.
7.
.
WarnerW.C.FarberL.A.: Trimalleolar fractures.
South Med J,
58:1292-1295,
1965.
