Subject Area
Orthopaedic Surgery
Article Type
Original Study
Abstract
Background: Posterior malleolar fractures are frequently associated with other malleolar injuries and significantly affect ankle stability through the posterior tibiofibular ligament. CT imaging is vital for preoperative classification, fragment size measurement, and syndesmotic evaluation. Objective: To assess clinical and radiological outcomes of posterior malleolar fractures treated using the posterolateral approach. Methods: This prospective case series included 20 skeletally mature patients treated between March 2022 and January 2024. Preoperative evaluation included radiographs and CT scans for classification, fragment size, articular step-off, and syndesmotic injury. Postoperative reduction and alignment were assessed with X-ray and CT. Functional outcomes were evaluated at ≥6 months using the AOFAS Ankle-Hindfoot Score, SF-36 questionnaire, and Visual Analogue Scale (VAS). Results: The mean fragment size was 31.4 mm. Preoperative articular step-off was present in 95% (mean 2.86 mm), and syndesmotic injury in 90%. At follow-up, 90% achieved union and full range of motion. Mean AOFAS was 79.9, SF-36 physical functioning and pain averaged 78.3 and 78.2, while median VAS was 2. Fragments
Recommended Citation
Farag, Mohammed AbdulRafei; Elhawary, Ahmed ElSayed; and Zaghloul, Ahmed Salah-Eldeen
(2025)
"Clinical and Radiological Outcomes of Posterior Malleolar Fractures Fixation Through Posterolateral Approach: A Prospective Case Series Study,"
Mansoura Medical Journal: Vol. 55
:
Iss.
1
, Article 8.
Available at:
https://doi.org/10.58775/2735-3990.1497
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
