Description
This presentation delivered by Tom Carter, a postgraduate trauma research fellow from Edinburgh, focuses on the management of medial malleolus fractures. The lecture begins with an introduction to the topic and the importance of weighing the risks associated with surgical fixation versus non-fixation of such fractures. Over the next ten minutes, the speaker reviews significant research findings in this area, emphasizing recent literature on injury management and surgical techniques. He outlines various classification systems for medial malleolus fractures, particularly highlighting the work of Herscovici et al. with their classification system and findings regarding isolated fractures, suggesting that non-surgical approaches yield comparable outcomes when the fractures are minimal displaced or well-managed. The discussion proceeds to include technical details regarding appropriate surgical methods, including screw types and placements, while emphasizing the importance of surgical outcomes. The talk culminates in practical take-home messages emphasizing the adequacy of using a single screw for fixation, the importance of respecting anatomical safe zones during surgery, and considering non-fixation when displacement is minimal and soft tissue integrity is a concern.