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Posteromedial approach


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

Start the incision 1 cm distal and 1 cm anterior to the middle of the tip of the medial malleolus. Curve the incision dorsally over the tip of the medial malleolus and in the direction of the posterior crest of the distal tibia.


Be careful not to damage the saphenous vein and nerve, especially distally.