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Published literature suggests that ankle fractures with involvement of the posterior malleolus are both underestimated and underdiagnosed. Fractures involving the posterior malleolus lead to poorer outcomes even when the fragment is small, with outcomes that may be worse with larger fragments.

The Ankle Plating System 3 incorporates 4.0 mm cannulated and cancellous screws, one-third tubular plates, fragment plates, and unique plating options for both the posteromedial and posterolateral distal tibia to specifically address these difficult fracture patterns.
(https://www.acumed.net/)

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Posterior Malleolus Fracture Fixation

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