previous section: 2/3 page: 3/4 next

2Reduction

In the presence of an impacted medial corner fragment, gently open the main vertical fracture plane by retraction of the medial malleolus medially (opening the book). The impacted “corner” fragment, usually identifiable by its articular cartilage, after irrigation if necessary, can then be seen.

Disimpact and carefully tease back the fragment into its anatomical position.

Then close the book by careful reduction of the medial malleolus.