Non--operative Treatment of the Medial Malleolus in bi- and Trimalleolar Ankle Fractures

Non--operative Treatment of the Medial Malleolus in bi- and Trimalleolar Ankle Fractures. A Randomized Controlled Trial

The purpose of this study was to determine if internal fixation of the medial malleolus is necessary following open reduction and internal fixation of the lateral and, if required, the posterior malleolus treating displaced bi-or trimalleolar ankle fractures.

Inclusion Criteria:

• Patients with Orthopaedic Trauma Association (OTA) type 44 fractures (B2-3 and C2-3).

Exclusion Criteria:

• Patients with OTA type 43 distal tibia fractures.
• Patients with soft tissue injuries involving the medial malleolus.