Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts

Figure 10  Trimalleolar right ankle fracture associated with dislocation. A: Preoperative X-rays; B and C: Computed tomography sagittal views with posterior malleolar fracture [tibial portion (B) and peroneal portion (C)]; D: Computed tomography axial view; E: Three dimensional computed tomography; F: Postoperative radiographs after fixation of the fibula and of the lateral part of the posterior malleolus with a P-A screw through a posterolateral approach and of the medial malleolus and of the tibial part of the posterior malleolus through a posteromedial approach (plates and screws); G: X-rays 8 mo following surgery with consolidation.