| zOpen reduction and internal fixation of tibia plafond fractures have excellent results but also associated with increased risk
of wound breakdown complications(1). Tibial plafond fractures have been approached through a anteromedial,anterolateral
and postreolateral approach. Posterolateral approach carries few advantages than anteromedial approach like ability to fix
both tibia and fibula through same approach, direct visualisation of posterior malleolus, lesser incidence of wound break
down complications and better soft tissue coverage over implants(2) However this approach is limited to specific fracture
pattern where comminution is predominantly posterior and has disadvantage of poor exposure to ankle joint compared to
anteromedial approach(3). In our study of sixteen patients of tibial plafond fracture with fibular fractures and fracture
subluxation of ankle due to large posterior malleolar fragment , we used posterolateral approach we experienced stable
fixation of both tibia and fibula and no wound complicationsddd |
