Miniarthrotomy assisted percutaneous screw fixation for displaced medial malleolus fractures – A novel technique

AimTo describe here a technique of miniarthrotomy assisted percutaneous screw insertion for displaced Herscovici type B and C medial malleolar fractures.MethodIncision was made centred over the superomedial angle of the ankle mortise, about half a cm medial to tibialis anterior. Arthrotomy was done and reduction obtained. Percuntaneously, two 4 mm cancellous cannulated screws were inserted through medial malleolus.Results and conclusionThis approach allows direct visualization of reduction, removal of entrapped soft tissue and preservation of saphenous vein and nerve.