Work

Posterior Malleolar Fractures: From the "Forgotten Fragment" to Modern Concepts in Management

Year: 2025

Type: article

Abstract: Posterior malleolar fractures (PMFs) affect ankle stability and patient prognosis. The posterior malleolus (PM) provides an articular surface, syndesmotic stability, and tibiotalar joint stability. Computed tomography (CT) scanning has changed the practice from size-based management to understanding the bigger picture, which includes considering fragment morphology, articular involvement, and syndesmotic stability. Treatment options range from conservative management in specific populations and fracture patterns to operative management for complex fractures that affect ankle joint integrity. Operative management options are controversial among orthopaedic surgeons. This focused review examines the anatomy, diagnosis, and various management strategies for PMFs.

Source: Cureus

DOI: 10.7759/cureus.94681

Authors: Ahmed Mohamed, Usman Fuad, Alaa Elasad, Sagaurav Shrestha, Aasim Hagroo, Ioannis P Pengas

Institutions: Royal Cornwall Hospital Trust, Royal Cornwall Hospital, Zagazig University

Language: English

Topic: Foot and Ankle Surgery

Subfield: Orthopedics and Sports Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415237075