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One option involves inserting screws that run from the front to the back of the ankle or the other way around. There are different options for surgery on this malleolus. Case Report: Two cases of trimalleolar fracture-dislocation of. Bone grafting can reduce the risk of arthritis.Ī surgeon can fix bone fragments using screws, plates, and wiring techniques. However, trimalleolar fractures with double medial malleolar fracture are not yet described. When this occurs, a surgeon may need to do a bone graft, which acts as a frame on which new bone can grow. Sometimes, a medial malleolus fracture may result in impaction of the ankle joint, which is when force drives one bone into another. The purpose of this study is to evaluate of functional tests and clinical findings with APOS System treatment in patient after bi-trimalleolar fracture of. Surgery on the medial malleoli can improve the chances of successful healing and allow the person to resume normal movement sooner. The surgeon will then attach screws and metals plates to the outer surface of the bone to hold them in place.įor some people, the surgeon may insert a screw or rod inside the bone to keep the bone fragments together as they heal. A Trimalleolar fracture is a fracture that occurs at the base of the ankle, when all three malleoli the bony protruberances that stabilize the ankle. Cristian Ortiz highlights the diagnosis, his treatment algorithm, and controversies of this indication. This complex injury can be difficult to treat appropriately. Share on Pinterest A person often requires intensive surgery after a trimalleolar fracture.Īs trimalleolar fractures are often unstable, a doctor will usually recommend surgery as treatment.Įach fracture will require a specific repair procedure during the surgery.įirstly, the surgeon will realign the bone fragments, returning them to their original position. A trimalleolar injury is a fracture of the ankle that involves the lateral malleolus, the medial malleolus, and the posterior malleolus.