Miniarthrotomy assisted percutaneous screw fixation for displaced medial malleolus fractures - A novel technique

To describe here a technique of miniarthrotomy assisted percutaneous screw insertion for displaced Herscovici type B and C medial malleolar fractures.

Incision was made centred over the superomedial angle of the ankle mortise, about half a cm medial to tibialis anterior. Arthrotomy was done and reduction obtained. Percuntaneously, two 4 mm cancellous cannulated screws were inserted through medial malleolus.

This approach allows direct visualization of reduction, removal of entrapped soft tissue and preservation of saphenous vein and nerve.