Trimalleolar fractures: a convenient medial approach for surgical reduction

In dealing surgically with trimalleolar fracture of the ankle joint in which the comminution is not severe, the medial approach is convenient and practicable. In the process of reducing the fracture the alignment can be directly observed. The fixation of the posterior fragment is done from the front rather than from the back of the tibia, Removal of the screws used for fixation is made considerably easier.