| pen reduction and internal fixation of tibia plafond fractures have excellent results but also associated with increased
risk of wound breakdown complications. 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 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. In our study of twenty 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 |
