The sphenomandibular and malleolar
anterior ligaments only can be tensed in a position of marked over-closure also stretching the ossicular position, explaining the increase of tinnitus in exaggerated intermaxilar positions.
Timing of surgery lasted around 1 to 1 % hours, open reduction and internal fixation of the malleolar
fractures were performed by tension band wiring, malleolar
screw, K-wire fixation or semitubular plating with screws.
This was a posterior malleolar
fracture with minimal displacement that required casting.
SURGICAL APPROACH: In this study talar neck fractures approached through single or dual approach with or without malleolar
(7,8) Most injuries that involve both ankle and talus include a talar body fracture and a single malleolar
Open reduction and internal fixation of the malleolar
fractures were performed by tension band wiring, 4 mm cannulated cancellous screws with washers, semitubular plating with screws or with an intra-medullary device.
The most accurate description of what we will refer to as the medial malleolar
osteoligamentous complex (MMOLC) was provided by Pankovich and Shivraram (2) and Skie and coworkers (3) in cadaveric studies.
CASE REPORT: A 62 years old male with fracture malleoli and fracture fibula posted for surgery (Malleolar
screws + plating of fibula).
Fixation of syndesmotic ruptures in 38 patients with a malleolar
fracture: a randomized study comparing a metallic and a bioabsorbable screw.
Colen RP, Prieskorn DW: Tibial tubercle-medial malleolar
distance in determining tibial nail length.
(21) Scharling described osteoarthritis in 6 of 15 patients after excision and drilling, but a medial malleolar
osteotomy was performed in this group.