[Aitken grade III fracture of the medial malleolus. Operative technique]

The treatment of fractures of the medial malleolus in juveniles is of particular relevance. In patients under 10 years old fractures of the distal tibia affect almost exclusively the medial malleolus in the extension line of the medial talus edge in a proximal direction. Above 10 years old the commencing closure of the joint often leads to a lateralization of the fracture gap and the fracture often runs at several levels. When fractures of the medial malleolus remain unrecognized or are treated inadequately, growth disturbances can occur (e.g. excessive or reduced growth, axis deviation). The diagnostics, indications (conservative or surgical treatment), treatment and follow-up care must be discussed and the corresponding legal aspects must be taken into consideration.