Abstract
Fibula plays important role in the stability of the ankle joint. Precise restora-tion of its length, axis and rotation is critically important in intraarticular malleo-lar and distal tibia fractures. Open reduction and internal fixation with plate is widely accepted method of treatment of the fractures of lateral malleolus and fib-ular shaft. Nevertheless, substantial number of complications accomplishes this treatment modality. Danger of wound complications is associated with borderline blood supply in the zone of surgery and with wide surgical exposure performed on swollen soft-tissues. Risk of secondary displacements is associated with ad-vanced osteoporosis. Both factors lead to significant increase of number of com-plications in the elderly patients with impaired bone mineral density and altered nutrition of the soft-tissues. These dangers has led to the development of less in-vasive methods of intramedullary fixation in the lateral malleolus and fibular shaft. This article provides data on evolution of the methods of surgical fixation of these fractures.
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