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Classification of posterior malleolar fractures in ankle fractures


Authors: J. Bartoníček 1,2;  S. Rammelt 3;  D. Klika 4;  O. Naňka 2;  M. Tuček 1;  K. Kostlivý 5;  MUDr. Václav Vaněček 1
Authors‘ workplace: Klinika ortopedie 1. LF Univerzity Karlovy a ÚVN − FVN Praha 1;  Anatomický ústav 1. LF Univerzity Karlovy, Praha 2;  University Center of Orthopedics and Traumatology, University Hospital Carl Gustav Carus, Dresden 3;  Radiologické oddělení ÚVN – FVN Praha 4;  Chirurgická klinika 1. LF Univerzity Karlovy a Thomayerova nemocnice, Praha 5
Published in: Rozhl. Chir., 2018, roč. 97, č. 2, s. 52-59.
Category: Review

Overview

The study presents an overview of the most common radiography and CT-based classifications of posterior malleolar fractures in ankle fracture-dislocations. Their analysis has shown that posterior malleolar fractures largely vary in size and shape. Evaluation of fractures by plain radiographs is inadequate. A detailed assessment of the fragment shape and course of fracture lines requires CT examination in all three projections, followed by 3D CT reconstructions.

Key words:
ankle fracture – dislocations − trimalleolar fractures − posterior malleolar fractures − classification


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