Posterior Malleolus Fractures

Shay Tenenbaum*, Nachshon Shazar, Nathan Bruck, Jason Bariteau

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review


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.

Original languageEnglish
Pages (from-to)81-89
Number of pages9
JournalOrthopedic Clinics of North America
Issue number1
StatePublished - 1 Jan 2017


  • Ankle fracture
  • Posterior malleolar fractures
  • Posterolateral surgical approach
  • Syndesmotic stability


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