Trimalleolar Frx: (Cotton Frx)
- See: Operative Treatment of Posterior Malleolar Fractures
- involves frxs of medial malleolus & fibula, along w/ frx of posterior lip of articular surface of tibia is frxed & displaced, allowing posterior & lateral displacement and external rotation w/ supination of the foot;
- medial malleolus may remain intact with a tear of the deltoid ligament occuring instead of malleolar fracture;
- same indications for ORIF apply to trimalleolar fx as bimalleolar frx;
- Indications for Surgery
- Operative Treatment of Posterior Malleolar Fractures
Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures.
The Joint-Contact Area of the Ankle. The Contribution of the Posterior Malleolus.
Posterior malleolar fractures of the ankle associated with external rotation-abduction injuries. Results with and without internal fixation.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Tuesday, November 27, 2012 11:34 am