Buttress plate stabilisation of posterior malleolar ankle fractures: a familiar technique through an unfamiliar approach

Introduction: The approach to the distal radius to apply a volar buttress plate for a volarly displaced distal radius fracture is a familiar procedure for orthopaedic surgeons. The stabilisation of distal. tibia posterior malleolar fractures is commonly performed by inserting tag or cannulated screws into the posterior fragment from anteriorly. Method: We discuss the similarity of the application of a posterior buttress plate to the distal. tibia via a posterolateral approach compared with a distal radial approach. Conclusions: The posterolateral approach is easy, safe and allows good access and accurate direct fracture reduction. We recommend this method be considered for the stabilisation of a posterior malleolar fracture. (C) 2008 Elsevier Ltd. All rights reserved.