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Jan Bartoníček Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice, Prague, Czech Republic

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Stefan Rammelt University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus at TU Dresden, Fetscherstrasse, Dresden, Germany

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Michal Tuček Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice, Prague, Czech Republic

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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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May Fong Mak Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland; Department of Orthopaedics, Waikato Hospital, New Zealand

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Richard Stern Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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Mathieu Assal Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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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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Vasileios Lampridis Frimley Park Hospital, UK

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Nikolaos Gougoulias Frimley Park Hospital, UK

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Anthony Sakellariou Frimley Park Hospital, UK

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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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Patrick Pflüger Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Karl-Friedrich Braun Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany
Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany

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Olivia Mair Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Chlodwig Kirchhoff Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Peter Biberthaler Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Moritz Crönlein Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Biomechanical and clinical research led to the development of classification systems of the medial and posterior malleolus. Medial malleolar fractures can be classified according to Herscovici et al, who differentiate between four types (A–D) of fractures based

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Michael J Raschke Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Sabine Ochman Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Alexander Milstrey Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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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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Patrick Ziegler BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland

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Christian Bahrs Schön Klinik Neustadt, Neustadt in Holstein, Germany

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Christian Konrads Department of Orthopaedic Surgery, University of Tübingen, Tübingen, Germany

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Philipp Hemmann BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Marc-Daniel Ahrend BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
AO Research Institute Davos, Davos Switzerland

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, bimalleolar or trimalleolar fractures. Trimalleolar fractures with the involvement of a posterior malleolar fragment account for approximately 7% of all ankle fractures ( 24 ). In Weber B and C fractures as well as fracture dislocations of the ankle, the

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Haroon Majeed Wrightington Hospital, UK

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Donald J. McBride The Royal Stoke University Hospital, UK

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uncommon and they comprise 3.4% of foot and ankle fractures and 0.32% of all fractures in the human body. Fractures of the lateral and posterior processes are considered to be peripheral talar fractures. They are uncommon and frequently missed due to

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Stefan Rammelt University Center of Orthopaedics & Traumatology, University Hospital Carl Gustav Carus, Dresden, Germany

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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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Bart A Swierstra Medical Guidelines, Amsterdam, The Netherlands

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W Annefloor van Enst Medical Guidelines, Amsterdam, The Netherlands

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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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Alexandre Sitnik Belarus Republic Scientific and Practical Center for Traumatology and Orthopedics, Kizhevatova str 60-4, 220024 Minsk, Belarus

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Aleksander Beletsky Belarus Republic Scientific and Practical Center for Traumatology and Orthopedics, Kizhevatova str 60-4, 220024 Minsk, Belarus

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Steven Schelkun Naval Hospital, San Diego, California, USA

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anterior and posterior fragments frequently with central joint impaction ( Fig. 1 ). 7 Fig. 1 The role of foot position in the type of distal tibial fracture. The incidence of distal tibial fractures is 3% to 10% of all tibial fractures or

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