Ankle fractures are among the most common injuries treated by orthopaedic surgeons. 1 Most of the rotational ankle fracture mechanisms described by Lauge-Hansen can lead to posterior malleolar fractures by avulsion of the posterior tibial fibular ligament especially the posterior external rotation (PER) injury. Trimalleolar fractures are known to have a worse prognosis than bimalleolar fracture...

The commonly used extensive approaches to the distal tibia include the posteromedial and anterolateral approaches. The current report describes several cases performed using this technique establishing a rationale and safe zone for performing a transfibular approach to the distal tibia. The advantages of such approach are the excellent visualization of the lateral tibia and the articular space....

Syndesmotic injuries may occur as an isolated ligamentous disruption or with associated malleolar fractures. It is imperative these injuries be identified and managed properly to prevent any long-term dysfunction and morbidity. There are multiple surgical interventions that can be used for the treatment of acute and chronic syndesmotic injuries. Obtaining and maintaining an anatomic reduction i...

Staphylococcus simulans was identified as the etiological agent of osteomyelitis and septic arthritis in an adult male who had sustained a fracture of the fibula and syndesmosis separation which required the installation of orthopedic hardware. Identifying characteristics and antibiograms for this organism, recovered from blood, wound exudate, and deep tissue samples, were determined. Recent ev...