title: Posterior Malleolus Fractures.
abstract: Posterior malleolus fractures vary in morphology. A computed tomography scan is imperative to evaluate fragment size, comminution, articular impaction, and syndesmotic disruption. Despite an increasing body of literature regarding posterior malleolus fractures, many questions remain unanswered. Although, historically, fragment size guided surgical fixation, it is becoming evident that fragment size should not solely dictate treatment. Surgical treatment should focus on restoring ankle joint structural integrity, which includes restoring articular congruity, correcting posterior talar translation, addressing articular impaction, removing osteochondral debris, and establishing syndesmotic stability.
authors.affiliation: Department of Orthopedic Surgery, Chaim Sheba Medical Center Hospital at Tel Hashomer, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, 1 Emek HaEla St, Ramat Gan 52621, Israel. Electronic address: shaytmd@gmail.com.
authors.forename: Shay
authors.initials: S
authors.lastname: Tenenbaum
authors.affiliation: Department of Orthopedic Surgery, Chaim Sheba Medical Center Hospital at Tel Hashomer, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, 1 Emek HaEla St, Ramat Gan 52621, Israel.
authors.forename: Nachshon
authors.initials: N
authors.lastname: Shazar
authors.affiliation: Department of Orthopedic Surgery, Chaim Sheba Medical Center Hospital at Tel Hashomer, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, 1 Emek HaEla St, Ramat Gan 52621, Israel.
authors.forename: Nathan
authors.initials: N
authors.lastname: Bruck
authors.affiliation: Department of Orthopaedics, Emory University School of Medicine, 59 Executive Park South, Suite 2000, Atlanta, GA 30306, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Bariteau
mesh_terms: D064386:Ankle Fractures / Q000175:diagnosis / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D014057:Tomography, X-Ray Computed
keywords: Ankle fracture; Posterior malleolar fractures; Posterolateral surgical approach; Syndesmotic stability