Abstract
Based on our last 7 years (2015-2022) 98 consecutive trimalleolar ankle fracture data base, we did a review of literature review trying to elucidate the differences between posterior malleolus fractures and posterior Pilon fractures. Posterior malleolus fractures are commonly caused by rotational forces on the ankle joint with foot in different positions, leading to different injuries from tearing of the posterior inferior tibiofibular ligament (PITFL) to an avulsion fracture of the posterior malleolus (PM). This is generally a low-energy injury and actually does not involve the joint articular surface. Posterior Pilon fractures result from a combination of rotational and vertical compression forces on the ankle joint, causing an intra-articular fracture of the distal posterior tibia. This type of fracture is commonly missed on plain gradiographs and often misdiagnosed. This review aims to provide an overview of the differences between posterior malleolus fractures and posterior Pilon fractures and some issues of clinical concerns such as how to make correct diagnosis for planning managements.
Published Version
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