Management of Posterior Malleolar Fractures: A Systematic Review.

摘要: Posterior malleolar fractures are relatively common and usually result from rotational ankle injuries. Although treatment of associated lateral medial structures is well established, several controversies exist in the management posterior malleolus fractures. We performed a systematic review current published data with regard to diagnosis, management, prognosis A total 33 studies (8 biomechanical 25 clinical) >950 patients were reviewed. The outcome involvement was poor; however, evidence not enough prove that size affects outcome. Significant heterogeneity noted cutoff fragment determining management. related other factors, such as fracture displacement, congruency articular surface, residual tibiotalar subluxation. Indirect showed large fragments dislocations instability and, thus, might require surgical fixation. have concluded enough, decision treat these should be determined by stated previously.