Open AccessAnterograde fixation of inverted oblique medial malleolus fractures
Author(s) -
Sávio Manhães Chami,
Thiago Coelho Lima,
Alexandre Pallottino,
Breno Jorge Braga Scorza,
José Sergio Franco,
Rogério Carneiro Bitar
Publication year - 2021
Publication title -
jornal of the foot and ankle
Language(s) - English
Resource type - Journals
ISSN - 2675-2980
DOI - 10.30795/jfootankle.2021.v15.1230
Subject(s) - medial malleolus , avulsion , fixation (population genetics) , medicine , oblique case , anatomy , reduction (mathematics) , internal fixation , surgery , orthodontics , ankle , mathematics , population , linguistics , philosophy , geometry , environmental health
Fractures of the medial malleolus are common, with avulsion being the main trauma mechanism. In simple transverse fractures, retrograde fixation with interfragmentary screws is the most common means of achieving anatomical reduction and absolute stability. However, greater attention must be paid in cases of inverted oblique fractures, which make traditional fixation difficult. We report a case in which anatomical reduction and stabilization were achieved using a reduction clamp and two headless compression screws placed anteriorly, resulting in a mechanically stable, safe and effective repair. Level of Evidence V, Therapeutic Studies; Expert Opinion.