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Medial Malleolar Fixation with a Bicortical Screw: Technique Tip

Displaced medial malleolar fractures are common and require open reduction and internal fixation. Accurate fixation allows early joint motion and improved healing of articular cartilage.6 There have been multiple methods described to stabilize these fractures including cancellous screws, cortical screws, screws with “anti-glide” plates, tension band wiring, and Kirschner wires.4,5,9 We describe a new technique to fix medial malleolar fractures that allows bicortical fixation. This technique has been used in many patients with good success. The technique works best in osteoporotic bone and is best suited for a transverse medial malleolar fracture.