JOT - 2026-08-01 - Journal Article; Case Reports
Supination Adduction Ankle Fracture Treated With Fibular Intramedullary Screw Fixation.
Di Pauli von Treuheim T, Cerasani MN, Konda S, Ganta A
Topics
Key Takeaway
A single-case technique report demonstrates retrograde fibular intramedullary screw plus medial mini-fragment antiglide plate with cancellous allograft backfilling for supination-adduction ankle fracture with anteromedial plafond impaction.
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Summary
This case report describes a surgical technique for Lauge-Hansen supination-adduction ankle fractures featuring anteromedial plafond impaction. The medial malleolus was fixed with a mini-fragment antiglide plate and subchondral rafting screws after articular disimpaction and cancellous allograft void filling; the transverse fibular fracture was stabilized with a retrograde intramedullary screw rather than a plate. No outcome data or comparative metrics are reported.
Key Limitation
A single case with no patient-reported outcomes, imaging follow-up, or comparison to standard plate fixation makes it impossible to assess whether this technique improves articular reduction maintenance or functional recovery.
Original Abstract
This abstract describes an open reduction and internal fixation technique used for a supination adduction ankle injury. This technique demonstrates medial plafond articular disimpaction with backfilling of the bony void with cancellous allograft. The medial malleolus was then fixed with a mini fragment plate in antiglide fashion with subchondral rafting screws. The lateral malleolus fracture was addressed with use of a retrograde screw rather than a fibular plate. This technique emphasizes the importance of both recognizing and addressing the anteromedial plafond impaction of supination adduction ankle fractures.