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Anatomy and classification of the posterior tibial fragment in ankle fractures.

Authors
  • Bartoníček, Jan
  • Rammelt, Stefan
  • Kostlivý, Karel
  • Vaněček, Václav
  • Klika, Daniel
  • Trešl, Ivo
Type
Published Article
Journal
Archives of orthopaedic and trauma surgery
Publication Date
Apr 01, 2015
Volume
135
Issue
4
Pages
505–516
Identifiers
DOI: 10.1007/s00402-015-2171-4
PMID: 25708027
Source
Medline
License
Unknown

Abstract

It is impossible to assess the shape and size of the posterior malleolar fragment, involvement of the fibular notch, or the medial malleolus, on the basis of plain radiographs. The system that we propose for classification of fractures of the posterior malleolus is based on CT examination and takes into account the size, shape and location of the fragment, stability of the tibio-talar joint and the integrity of the fibular notch. It may be a useful indication for surgery and defining the most useful approach to these injuries.

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