Posterior and medial malleolar fractures managed via a posteromedial approach and a medialized window: A case report and brief literature review

Ankle fractures represent one of the most frequent pathologies in orthopedic clinical practice. Effective management relies on accurate injury recognition, classification, and the selection of the optimal surgical approach. While posterior malleolar fractures are commonly addressed through a posterolateral approach due to its established safety profile and surgical reliability, complex fracture patterns involving the medial or lateral malleoli necessitate alternative strategies. In these cases, a single-incision approach is imperative to achieve definitive fixation of multiple fragments while minimizing the risk of soft tissue compromise and skin necrosis.