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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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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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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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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, 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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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
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland
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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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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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: 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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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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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