Buttress plate stabilisation of posterior malleolar ankle fractures: a familiar technique through an unfamiliar approach

SummaryIntroductionThe approach to the distal radius to apply a volar buttress plate for a volarly displaced distal radius fracture is a familiar procedure for orthopaedic surgeons. The stabilisation of distal tibia posterior malleolar fractures is commonly performed by inserting lag or cannulated screws into the posterior fragment from anteriorly.MethodWe discuss the similarity of the application of a posterior buttress plate to the distal tibia via a posterolateral approach compared with a distal radial approach.ConclusionsThe posterolateral approach is easy, safe and allows good access and accurate direct fracture reduction. We recommend this method be considered for the stabilisation of a posterior malleolar fracture.