POSTERIOR MALLEOLAR FRACTURES

Abstract

Abstract

Posterior malleolus fractures are increasingly recognized as a key determinant of ankle stability and long-term functional outcomes. Traditional size-based indications for fixation have been challenged by advances in imaging and biomechanical understanding.

Objective: To provide a comprehensive and critical overview of current concepts in the diagnosis, classification, and treatment of posterior malleolus fractures.

Methods: A narrative review of contemporary literature was conducted, focusing on systematic reviews, biomechanical studies, and clinical outcome analyses.

Results: Evidence supports CT-based morphological assessment over fragment size alone. Direct posterior fixation offers improved articular reduction and syndesmotic stability in selected cases.

Conclusion: Management should be individualized based on fracture morphology, stability, and joint congruency. Anatomical reduction remains the cornerstone of optimal outcomes.