How we do it? Trimalleolar Fractures: Posterolateral Approach for Fixing the Syndesmotic Ligament, Posterior Malleolus, and Fibula.

Introduction: Syndesmotic injury in trimalleolar fracture is necessary to address intraoperatively by stability test, as it affects post-operative functional outcomes. Most of syndesmotic injuries are stable after fixation of the posterior malleolus, but in rare cases, syndesmosis is not stable after adequate fixation. In those rare conditions, we have to fix syndesmosis by corticocancellous (CC) screw throw lateral fibula plate.