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ruptured ligaments. Substantial variation exists amongst surgeons in the management of the posterior malleolar component of the injury; however, traditionally posterior malleolar fractures > 20% of the tibial plafond articular surface and displaced
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. Annals of the Royal College of Surgeons of England 2023 105 78 – 79 . ( https://doi.org/10.1308/rcsann.2021.0363 ) 80 Rammelt S & Bartoníček J . Posterior malleolar fractures: a critical analysis review . JBJS Reviews 2020 8 e19.00207 . ( https
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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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malleolus are disputed. 111 – 114 A review about the long-term outcome of 866 posterior malleolar fractures reported comparable results of operatively and non-operatively treated patients. 112 If a stable ankle mortise can be achieved through
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posterior malleolar fractures: radiological and clinical evaluation . Orthopaedics and Traumatology, Surgery and Research 2017 103 703 – 707 . ( https://doi.org/10.1016/j.otsr.2017.05.012 ) 10.1016/j.otsr.2017.05.012 29. Shih CA Jou IM Lee PY Lu
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stability, after appropriate investigation with a CT scan. 2 , 46 . A recent systematic review showed that, according to published studies, surgeons most commonly perform surgical fixation of posterior malleolar fractures only when these exceed 25% of
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posterior malleolar fracture differ due to the injury mechanism ( 27 ). A frequently used classification for posterior malleolar fragment fractures was described by Haraguchi et al. ( 28 ). Three main fracture patterns were described on axial CT scans
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2015 135 505 – 516 . ( https://doi.org/10.1007/s00402-015-2171-4 ) 25. Bartoníček J Rammelt S & Tuček M . Posterior malleolar fractures changing concepts and recent developments . Foot and Ankle Clinics 2017 22 125 – 145 . ( https
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: the effect of plate and screw position . Foot Ankle Int 2005 ; 26 : 281 - 5 . 31 Gardner MJ , Brodsky A , Briggs SM , Nielson JH , Lorich DG . Fixation of posterior malleolar fractures provides
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. Clin Orthop Relat Res 2019 ; 477 : 2482 – 2491 . 10. Hendrickx LAM Sobol GL Langerhuizen D et al. A machine learning algorithm to predict the probability of (occult) posterior malleolar fractures associated with
