Posterior Malleolar Fractures in 2022 - Royal College of Physicians and Surgeons Glasgow 2022

Description

The speaker discusses the transformation of their understanding of ankle fracture treatments over five years, reflecting on personal experiences and evolving medical practices. Initially faced with poor surgical outcomes, they highlight the importance of addressing myths surrounding fracture classifications and the inadequacies of historical frameworks in orthopedic surgery.



They emphasize the significance of detailed imaging, such as CT scans, in accurately diagnosing and classifying injuries, particularly in establishing treatment plans for complex injuries like posterior malleolar fractures. By presenting case studies, the speaker demonstrates how their classification system evolved, underscoring the need for anatomical reduction and the recognition of unique injury types rather than relying on outdated classification methods that prioritized fracture size over morphology.



Through research and clinical experience, the speaker articulates a paradigm shift towards understanding the importance of fracture morphology in determining patient outcomes, rejecting the notion that percentage joint involvement is indicative of surgery success. They advocate for direct approaches in surgical interventions and fixing not just the visible distortions but also addressing underlying rotational instability to improve patient recovery. Ultimately, the talk concludes by stressing that successful outcomes in orthopedic procedures hinge on precise assessment and tailored surgical approaches rather than merely adhering to traditional classifications.

DOI: 10.1302/3114-221893

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