Posterior Malleolar Fractures - Hunterian Lecture 2020

Description

This presentation is a lecture delivered by Lyndon Mason, a foot and ankle trauma surgeon based in Liverpool, covering the topic of posterior malleolar fractures. Mason opens with an acknowledgment of the privilege to present at the esteemed Hunterian lecture series, which has a historical legacy tied to John Hunter, a pioneering Scottish surgeon advocating for careful observation and scientific methods in medicine. Over five years, Mason has dedicated significant effort to research in this area, acknowledging the contributions of colleagues and students in his work.



The lecture addresses common misconceptions and dogmas in orthopedic practices related to ankle fractures, highlighting a need for evidence-based practice. Mason shares findings from audits conducted in his department, which revealed high rates of malreduction and complications from ankle surgeries, prompting education initiatives and subsequent improvements in surgical outcomes. Key insights revolve around the anatomical and functional significance of posterior malleolar fractures, emphasizing that size of the fracture fragment is not the sole determinant of outcomes. CT imaging is urged for a reliable assessment of these injuries.



Furthermore, Mason discusses different types of fractures, their mechanisms, and appropriate surgical approaches—including the importance of addressing associated injuries such as syndesmotic injuries and the role of specific fixation techniques. As the lecture concludes, he reflects on their findings, indicating improved outcomes for patients with posterior malleolar fractures and calling for continued advancements in surgical techniques and further research.

DOI: 10.1302/3114-221173

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