Fratura do maléolo posterior da tíbia distal
acesso póstero-lateral
Keywords:
internal fractures fixation, distal tibial fractures, ankle fracturesAbstract
Posterior malleolus fracture is a specific type of fracture that usually occurs in association with a fracture of the ankle or a pilon fracture. Posterior approaches were originally designed to fix the Volkmann fragment, which is frequently associated with lateral and / or medial malleolar fractures. This patient undergone a posterolateral approach with plate fixation and lateral and posterior malleolus screw, after radiographic and tomographic studies, with early mobilization and ambulation after 6 weeks of osteosynthesis. The only complication was surgical wound dehiscence, which resolved after 3 weeks without surgical intervention.
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References
Gao M, Liu N, Cheng Y, Shi W, Yang H. Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures. Exp Ther Med. 2019;17(5):4267-72.
Assal M, Dalmau-Pastor M, Ray A, Stern R. How to Get to the Distal Posterior Tibial Malleolus? A Cadaveric Anatomic Study Defining the Access Corridors Through 3 Different Approaches. J Orthop Trauma. 2017;31(4):e127-e129.
Hoppenfeld S, deBoer P. Surgical exposures in orthopaedics: the anatomic approach. 2ed. Philadelphia: Lippincott, Williams, & Wilkins; 1994.
Coughlin M, Saltzman CL, Mann RA (ed). Mann’s surgery of the foot and ankle. 9ed. Elsevier; 2013.
Martins C, Varzielas M, Morais J, Mendes E. Via póstero-interna na fixação de fragmento posterior em fratura complexa do pilão tibial. Gazeta Médica. 2018;5(4):287-90.
Moura Júnior AF, Machado Filho AA, Campos ET, Martins JS.Fraturas do pilão tibial: resultados funcionais e avaliação da qualidade de vida. Sci J Foot Ankle. 2018;12(1):42-8.
Roberzie R G et al. Pilon fractures: use of the posterolateral approach for ORIF. Op Tec Orthop. 2003;13(2):113-9.
Zhong S, Shen L, Zhao JG, Chen J, Xie JF, Shi Q, et al. Comparison of Posteromedial Versus Posterolateral Approach for Posterior Malleolus Fixation in Trimalleolar Ankle Fractures.
Orthop Surg. 2017;9(1):69-76.
