An alternative fixation technique for small medial malleolus fractures.

摘要

Open reduction and internal fixation of the medial malleolus is indicated with nondisplaced fractures in individuals with high-functional demands at the ankle, as well as displaced fractures of the medial malleolus that may result in ankle instability and varas talar tilt. Multiple techniques have been described for fixation of the medial malleolus. Two parallel 4.0-mm cancellous screws oriented perpendicular to the fracture line providing compression is the gold standard for medial malleolus fixation.