Fix if fragment >25–30% of tibial plafond, >2 mm displacement, syndesmotic instability, or posterolateral fragment involving PITFL. CT-based morphology guides approach: posterolateral approach common; direct reduction restores incisura and syndesmotic stability. Sequence: posterior malleolus first to stabilize syndesmosis, then fibula/medial malleolus. Fixation: screws posterior‑to‑anterior or buttress plate via posterolateral approach. Restoring posterior fragment reduces need for trans-syndesmotic screws.
Introduction Colles fracture is a common extra-articular fracture of the distal radius typically occurring within 2–3 cm of the wrist joint...
Introduction Calcaneal fractures are the most common fractures of the tarsal bones and typically occur following high-energy axial loading injuri...
What is the primary indication for fixation of a posterior malleolus fragment?
What displacement measurement of the posterior malleolus fragment indicates a need for surgical fixation?
Why is fixation of the posterior malleolus fragment critical in trimalleolar fractures?
What is the most common type of posterior malleolus fracture according to the Bartoníček classification?
What approach is typically used for surgical fixation of a posterior malleolus fracture?
When is fixation of the posterior malleolus fragment likely to eliminate the need for a trans-syndesmotic screw?
What role does the posterior inferior tibiofibular ligament (PITFL) play in relation to the posterior malleolus?
In the context of posterior malleolus fixation, what is the sequence of fixation that is recommended?
What is the significance of restoring the posterior malleolus fragment in terms of syndesmotic stability?
What is the potential consequence of not fixing a displaced posterior malleolus fragment?
