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Posterior Malleolus: Plate order

Posterior Malleolus: Plate order. Michael J. Gardner, MD Professor & Vice Chairman Chief, Orthopaedic Trauma Stanford University School of Medicine Palo Alto, CA. But first…. No indirect anatomic reduction after fixing malleoli. Affects syndesmosis. Bumps.

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Posterior Malleolus: Plate order

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  1. Posterior Malleolus: Plate order Michael J. Gardner, MD Professor & Vice Chairman Chief, Orthopaedic Trauma Stanford University School of Medicine Palo Alto, CA

  2. But first…

  3. No indirect anatomic reduction after fixing malleoli

  4. Affects syndesmosis

  5. Bumps

  6. Fibula through same interval • Sural nerve

  7. Prone medial malleolus

  8. No direct articular access • Key in apex • Fluoro for articular congruity

  9. MYTH! But it’s more difficult to reduce the posterior malleolus first if the fibula is displaced…

  10. Thank you

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