Aim: To describe here a technique of miniarthrotomy assisted percutaneous screw insertion for displaced Herscovici type B and C medial malleolar fractures.

Method: Incision was made centred over the superomedial angle of the ankle mortise, about half a cm medial to tibialis anterior. Arthrotomy was done and reduction obtained. Percuntaneously, two 4 mm cancellous cannulated screws were inserted through medial malleolus.

Results And Conclusion: This approach allows direct visualization of reduction, removal of entrapped soft tissue and preservation of saphenous vein and nerve.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4264056PMC
http://dx.doi.org/10.1016/j.jcot.2014.07.003DOI Listing

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