Supination Adduction Ankle Fracture Treated With Fibular Intramedullary Screw Fixation

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• Supination adduction ankle fractures are complex injuries.
• Anteromedial plafond impaction is a key feature requiring specific management.

Purpose of the Study:

• To describe an open reduction and internal fixation technique for supination adduction ankle injuries.
• To highlight the importance of addressing medial plafond impaction.

Main Methods:

• Open reduction and internal fixation.
• Medial plafond articular disimpaction with cancellous allograft bone grafting.
• Fixation of medial malleolus with a mini fragment plate and subchondral rafting screws.
• Fixation of lateral malleolus fracture with a retrograde screw.

Main Results:

• Successful surgical technique for supination adduction ankle fractures.
• Demonstrated effective management of medial plafond articular disimpaction.
• Utilized specific fixation methods for both medial and lateral malleoli.

Conclusions:

• The described technique effectively addresses supination adduction ankle fractures.
• Recognizing and managing anteromedial plafond impaction is crucial for successful treatment.
• This approach offers a viable solution for complex ankle fracture fixation.