Mastering the approach to complex ankle fractures is a technical challenge for orthopedic surgeons. This training offers a technical immersion into the treatment of posterior malleolus fractures associated with high lateral malleolus fractures, using a single curved posterolateral approach and indirect reduction techniques.

Training Focus:

• Surgical treatment of posterior malleolus fracture and high lateral malleolus of the fibula fracture.
• Use of a single curved posterolateral approach.
• Indirect reduction technique for the posterior malleolus.
• Fixation with interfragmentary screws and locking plate.

Detailed Content:

• Strategic Patient Positioning: Methodology for oblique lateral decubitus positioning, allowing versatility in the approach and potential medial access.
• Optimized Fibula Approach: Technique for retracting the fibular tendons to access the lateral malleolus fracture, maintaining muscle integrity.
• Precise Anatomical Reduction: Use of clamps to achieve anatomical reduction of lateral malleolus fractures, with identification of vertices.
• Stable Lateral Malleolus Fixation: Sequence for provisional and definitive fixation with interfragmentary screws and a locking plate, avoiding articular screws.
• Direct Access to the Posterior Malleolus: Method for approaching the posterior malleolus through the same access, incising fascia and retracting tendons for visualization.
• Effective Indirect Reduction of the Posterior Malleolus: Demonstration of the indirect reduction technique for the posterior malleolus through plate accommodation and screw insertion, minimizing exploration.

Included Material:

• Detailed PDF: Technical summary of the surgical treatment of posterior malleolus fractures associated with high lateral malleolus fractures, describing patient positioning, the approach via single posterolateral access, the fibula reduction and fixation technique, and the posterior malleolus approach and indirect reduction.

Enhance your ankle surgery skills. Enroll now and master advanced techniques in the treatment of posterior and lateral malleolus fractures.