The recent case presented on Orthobullets was of a 2B fracture type ankle fracture. After a decade of research into posterior malleolar fractures, this is still an evolving situation.
lnkd.in/ge-Wnbc8
Yes, I don’t like any traction on the NV bundle. FDL protects this. I will go in front of tib post to get to the PM fragment in a 2B fracture
I’m usually under 2 hours, but it’s pretty high volume for these now. 3-6 on a normal trauma week. Also do about 4 cadaveric labs a year which helps enormously
I do this for 3 column pilons, or if i need to get to the anterior syndesmosis/AL plafond. Otherwise I prefer recovery as easier to place metalwork
Looking good mate. I’ll send the MWB paper when published
But the door is open and tib post is likely entrapped (circle). I can’t see this from the PL approach pubmed.ncbi.nlm.nih.gov/37698673/
Publication in FAO this month of MPM while supine with great results journals.sagepub.com/doi/full/10....
Recovery position and MPM and direct lateral. Jan would do this supine and same approaches I think. The medial wall blowout (MWB) needs plating. We just submitted work on this for publication. One thing to note about the MWB is the very high rate of tib post entrapment
I used to do this. Now it’s just a simple running stitch when I realized foot and ankle scars heal beautifully due to the natural compression dressing. A sock!
Stop doing posterolateral then. I feel younger and healthier since I stopped 🤔😀
Why?
This is a great idea mate
Excited to share my author’s link for our paper published in the #SECOT #InjuryJournal supplement on “Implant-associated infection after #hipfracture surgery in elderly patients: Risk factors and mortality”. Part of one of our students’ Master’s Thesis.
authors.elsevier.com/a/1k8tl4b3HfWyH
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📆 Monday, 25 November 2024
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New reel from the clinic. It’s amazing how many people are told they can never wear heels after a big toe fusion #ortho
