“Technical Tip: Percutaneous Reduction and Fixation of Displaced Medial Malleolus Fractures—A Case Series”

Abstract: Ankle fractures are common orthopedic injuries, with management ranging from conservative to surgical intervention. Minimally invasive techniques for medial malleolus fixation have emerged as a promising alternative to traditional open surgery, offering several advantages, including reduced surgical trauma, shorter recovery times, and fewer complications. We present a case series of 4 patients with displaced medial malleolus fractures who underwent percutaneous reduction and fixation with the presented technique. The following technique is simple and reproducible, assisted by fluoroscopic guidance to ensure proper reduction and clearance of intervening soft tissue followed by fixation, avoiding conventional incision and hence respecting soft tissue and preventing soft tissue complication and nonunion, aiming to enhance functional outcomes with the added benefit of reduced postoperative pain and faster rehabilitation. Care is taken to respect the anterior and posterior colliculi of the medial malleolus during reduction to avoid articular incongruity. Level of Evidence: Diagnostic Level IV—case series. See Instructions for Authors for a complete description of levels of evidence.