{"product_id":"trimalleolar-case-03-posterolateral-approach-antegrade-medial-malleolus-fixation","title":"TRIMALLEOLAR [CASE 03] POSTEROLATERAL APPROACH + ANTEGRADE MEDIAL MALLEOLUS FIXATION","description":"\u003cp\u003eThis educational case presents the surgical management of a trimalleolar ankle fracture with a distinctive inverted oblique fracture line of the medial malleolus. The case emphasizes procedural reasoning rather than prescriptive technique, highlighting how fracture morphology can influence positioning, surgical approach, reduction strategy, and implant selection.\u003c\/p\u003e\n\u003cp\u003eThe lesson follows the sequence of lateral malleolus exposure through a posterolateral approach, assessment of a long oblique fibular fracture, indirect reduction using plate-assisted mechanics, fixation of the posterior malleolar fragment, conversion of patient positioning for medial access, and intraoperative decision-making for a small distal medial malleolar fragment with an atypical obliquity.\u003c\/p\u003e\n\u003cp\u003eParticular attention is given to anatomical landmarks around the ankle, including the peroneal tendons, Achilles tendon interval, syndesmotic structures, posterior malleolus, medial malleolus, periosteal handling, and articular reference points used during reduction. The case also illustrates how preoperative imaging and intraoperative findings may require adaptation of the fixation plan, especially when conventional retrograde screw trajectories are not ideal for the fracture pattern.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based surgical walkthrough\u003c\/li\u003e\n\u003cli\u003eDiscussion of preoperative fracture pattern assessment\u003c\/li\u003e\n\u003cli\u003ePosterolateral approach considerations for the ankle\u003c\/li\u003e\n\u003cli\u003eLateral malleolus reduction and fixation reasoning\u003c\/li\u003e\n\u003cli\u003ePosterior malleolus fixation concept\u003c\/li\u003e\n\u003cli\u003eMedial malleolus exposure and fragment evaluation\u003c\/li\u003e\n\u003cli\u003eDiscussion of atypical screw trajectory selection\u003c\/li\u003e\n\u003cli\u003eAnatomy-focused procedural commentary\u003c\/li\u003e\n\u003cli\u003eFluoroscopy-based reduction assessment concepts\u003c\/li\u003e\n\u003cli\u003eEducational review points for orthopedic trauma learners\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eOrthopedic trauma surgeons\u003c\/li\u003e\n\u003cli\u003eOrthopedic surgery residents and fellows\u003c\/li\u003e\n\u003cli\u003eFoot and ankle surgery trainees\u003c\/li\u003e\n\u003cli\u003eMedical students with interest in musculoskeletal trauma\u003c\/li\u003e\n\u003cli\u003eOperating room professionals involved in orthopedic trauma education\u003c\/li\u003e\n\u003cli\u003eMedical educators developing procedural anatomy content\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for medical and procedural education only. It does not replace formal surgical training, institutional protocols, specialist supervision, or individualized clinical judgment. No clinical outcome is promised or implied. All procedural content should be reviewed by qualified medical professionals before educational or clinical use.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 369e401e-a10d-4897-a30f-d668bbc3a9b7 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43388150022205,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/TRIMALEOLARCaso3_57ad42c9-cd26-4eb7-bba3-5507cfcdfea5.webp?v=1785335252","url":"https:\/\/www.surgie.com\/ar\/products\/trimalleolar-case-03-posterolateral-approach-antegrade-medial-malleolus-fixation","provider":"Surgie","version":"1.0","type":"link"}