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Posterior Malleolus: Plate order

Learn from Dr. Michael J. Gardner, a renowned orthopaedic trauma expert at Stanford University School of Medicine, about the importance of direct anatomic reduction in fixing malleoli. Discover key tips for addressing syndesmosis, sural nerve considerations, and challenges in reducing the posterior malleolus. Understand the myth of difficulty in reducing the posterior malleolus first when the fibula is displaced. Get insights on ordering posterior malleolus plates for optimal patient outcomes.

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Posterior Malleolus: Plate order

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  1. Posterior Malleolus: Plate order Michael J. Gardner, MD Professor & Vice Chairman Chief, Orthopaedic Trauma Stanford University School of Medicine Palo Alto, CA

  2. But first…

  3. No indirect anatomic reduction after fixing malleoli

  4. Affects syndesmosis

  5. Bumps

  6. Fibula through same interval • Sural nerve

  7. Prone medial malleolus

  8. No direct articular access • Key in apex • Fluoro for articular congruity

  9. MYTH! But it’s more difficult to reduce the posterior malleolus first if the fibula is displaced…

  10. Thank you

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