Executive Editor: Steve Krikler

Authors: Paulo Barbosa, Felix Bonnaire, Kodi Kojima

Malleoli

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Glossary

Lateral approach

The longitudinal lateral incision is the standard approach for most fibular fractures.

Medial approach

The standard medial incision runs posterior to the medial malleolus. The saphenous vein and nerve must be protected.

Safe zones

Inserting percutaneous instrumentation such as pins or transfixion wires through safe zones reduces the risk of damage to neurovascular structures.

Posteromedial approach

This approach is indicated in cases of posterior comminution and/or a posterior extension of a medial malleolar fracture.

Posterolateral approach

The posterolateral approach gives direct access to the Volkmann fragment.

This approach also allows fixation of the fibular fracture, with a plate placed on the posterior surface.

Safe zones for anterior approach

Inserting percutaneous instrumentation such as pins or transfixion wires through safe zones reduces the risk of damage to neurovascular structures.

Lateral approach (C-fractures)

The longitudinal lateral incision is the standard approach for most fibular C-fractures.

v1.0 2006-12-04