The medial malleolus osteoligamentous complex and its role in ankle fractures.
Ankle stability in ankle fractures is dependent on multiple factors. The medial malleolus and the associated deltoid ligament provide for ankle stability on the medial side. Over the years, the relative importance of this medial malleolar osteoligamentous complex (MMOLC) has been debated. This review will describe the evolution of ankle fracture surgery from the perspective of the contribution of the MMOLC to re-establishing ankle stability. Also discussed are the surgical and nonsurgical treatment options, various presentations of medial sided injuries in ankle fractures, and, finally, current recommendations for fixation.
Davidovitch
Roy I
RI
New York University School of Medicine, New York, New York, USA. roy.davidovitch@nyumc.org
Egol
Kenneth A
KA
D016512:Ankle Injuries / Q000473:pathology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D000843:Ankle Joint / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000473:pathology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology / Q000517:prevention & control; D008023:Ligaments, Articular / Q000293:injuries / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D017410:Practice Guidelines as Topic; D016059:Range of Motion, Articular; D013639:Tarsal Bones / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome