The three aforementioned parts of bone articulate with the talus bone of the foot. Strictly speaking, there are only two malleoli (medial and lateral), but the term trimalleolar is used nevertheless and as such is a misnomer. The trimalleolar fracture is also known as cotton fracture.
X-ray of trimalleolar fracture repair with plate and nails
Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits. This typically takes six weeks in an otherwise healthy person, but can take as much as twelve weeks. Non-surgical treatment may sometimes be considered in cases where the patient has significant health problems or where the risk of surgery may be too great.[1]
Referencesedit
^ abOrthopaedic Trauma Association (September 2007). "Ankle Fractures". AAOS.
Further readingedit
Weber, Martin (2004). "Trimalleolar Fractures with Impaction of the Posteromedial Tibial Plafond: Implications for Talar Stability". Foot & Ankle International. 25 (10): 716–27. doi:10.1177/107110070402501005. PMID 15566703. S2CID 43182738.
Weber, Martin; Ganz, Reinhold (2003). "Malunion following Trimalleolar Fracture with Posterolateral Subluxation of the Talus — Reconstruction Including the Posterior Malleolus". Foot & Ankle International. 24 (4): 338–44. doi:10.1177/107110070302400406. PMID 12735377. S2CID 20888046.
Bucholz, R. W.; Henry, S; Henley, M. B. (1994). "Fixation with bioabsorbable screws for the treatment of fractures of the ankle". The Journal of Bone and Joint Surgery. 76 (3): 319–24. doi:10.2106/00004623-199403000-00001. PMID 8126036.
Haraguchi, Naoki; Haruyama, H; Toga, H; Kato, F (2006). "Pathoanatomy of Posterior Malleolar Fractures of the Ankle". The Journal of Bone and Joint Surgery. 88 (5): 1085–92. doi:10.2106/JBJS.E.00856. PMID 16651584.
Langenhuijsen, Johan F.; Heetveld, Martin J.; Ultee, Jan M.; Steller, E. Philip; Butzelaar, Rudi M. J. M. (2002). "Results of Ankle Fractures with Involvement of the Posterior Tibial Margin". The Journal of Trauma: Injury, Infection, and Critical Care. 53 (1): 55–60. doi:10.1097/00005373-200207000-00012. PMID 12131390.
Van Den Bekerom, Michel P. J.; Haverkamp, Daniel; Kloen, Peter (2009). "Biomechanical and Clinical Evaluation of Posterior Malleolar Fractures. A Systematic Review of the Literature". The Journal of Trauma: Injury, Infection, and Critical Care. 66 (1): 279–84. doi:10.1097/TA.0b013e318187eb16. PMID 19131839.
Helmy, Naeder; Meyer, Dominik C.; Vienne, Patrick; Espinosa, Norman (2012). "The Posterolateral Approach for the Treatment of Trimalleolar Fractures". Techniques in Foot & Ankle Surgery. 11 (4): 189–93. doi:10.1097/BTF.0b013e3182743f11.
Forberger, Jens; Sabandal, Philipp V.; Dietrich, Michael; Gralla, Jan; Lattmann, Thomas; Platz, Andreas (2009). "Posterolateral Approach to the Displaced Posterior Malleolus: Functional Outcome and Local Morbidity". Foot & Ankle International. 30 (4): 309–14. doi:10.3113/FAI.2009.0309. PMID 19356354. S2CID 34963028.
External linksedit
April 12, 2024
trimalleolar, fracture, this, article, confusing, unclear, readers, please, help, clarify, article, there, might, discussion, about, this, talk, page, april, 2018, learn, when, remove, this, template, message, also, bimalleolar, fracture, trimalleolar, fractur. This article may be confusing or unclear to readers Please help clarify the article There might be a discussion about this on the talk page April 2018 Learn how and when to remove this template message See also Bimalleolar fracture A trimalleolar fracture is a fracture of the ankle that involves the lateral malleolus the medial malleolus and the distal posterior aspect of the tibia which can be termed the posterior malleolus The trauma is sometimes accompanied by ligament damage and dislocation 1 Trimalleolar fractureX ray of trimalleolar fracture repair before and after ORIF surgerySpecialtyOrthopedicsThe three aforementioned parts of bone articulate with the talus bone of the foot Strictly speaking there are only two malleoli medial and lateral but the term trimalleolar is used nevertheless and as such is a misnomer The trimalleolar fracture is also known as cotton fracture Contents 1 Treatment 2 References 3 Further reading 4 External linksTreatment edit nbsp X ray of trimalleolar fracture repair with plate and nailsSurgical repair using open reduction and internal fixation is generally required and because there is no lateral restraint of the foot the ankle cannot bear any weight while the bone knits This typically takes six weeks in an otherwise healthy person but can take as much as twelve weeks Non surgical treatment may sometimes be considered in cases where the patient has significant health problems or where the risk of surgery may be too great 1 References edit a b Orthopaedic Trauma Association September 2007 Ankle Fractures AAOS Further reading editWeber Martin 2004 Trimalleolar Fractures with Impaction of the Posteromedial Tibial Plafond Implications for Talar Stability Foot amp Ankle International 25 10 716 27 doi 10 1177 107110070402501005 PMID 15566703 S2CID 43182738 Weber Martin Ganz Reinhold 2003 Malunion following Trimalleolar Fracture with Posterolateral Subluxation of the Talus Reconstruction Including the Posterior Malleolus Foot amp Ankle International 24 4 338 44 doi 10 1177 107110070302400406 PMID 12735377 S2CID 20888046 Bucholz R W Henry S Henley M B 1994 Fixation with bioabsorbable screws for the treatment of fractures of the ankle The Journal of Bone and Joint Surgery 76 3 319 24 doi 10 2106 00004623 199403000 00001 PMID 8126036 Haraguchi Naoki Haruyama H Toga H Kato F 2006 Pathoanatomy of Posterior Malleolar Fractures of the Ankle The Journal of Bone and Joint Surgery 88 5 1085 92 doi 10 2106 JBJS E 00856 PMID 16651584 Langenhuijsen Johan F Heetveld Martin J Ultee Jan M Steller E Philip Butzelaar Rudi M J M 2002 Results of Ankle Fractures with Involvement of the Posterior Tibial Margin The Journal of Trauma Injury Infection and Critical Care 53 1 55 60 doi 10 1097 00005373 200207000 00012 PMID 12131390 Van Den Bekerom Michel P J Haverkamp Daniel Kloen Peter 2009 Biomechanical and Clinical Evaluation of Posterior Malleolar Fractures A Systematic Review of the Literature The Journal of Trauma Injury Infection and Critical Care 66 1 279 84 doi 10 1097 TA 0b013e318187eb16 PMID 19131839 Helmy Naeder Meyer Dominik C Vienne Patrick Espinosa Norman 2012 The Posterolateral Approach for the Treatment of Trimalleolar Fractures Techniques in Foot amp Ankle Surgery 11 4 189 93 doi 10 1097 BTF 0b013e3182743f11 Forberger Jens Sabandal Philipp V Dietrich Michael Gralla Jan Lattmann Thomas Platz Andreas 2009 Posterolateral Approach to the Displaced Posterior Malleolus Functional Outcome and Local Morbidity Foot amp Ankle International 30 4 309 14 doi 10 3113 FAI 2009 0309 PMID 19356354 S2CID 34963028 External links edit Retrieved from https en wikipedia org w index php title Trimalleolar fracture amp oldid 1057056579, wikipedia, wiki, book, books, library,
