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Fig. 3 | BMC Musculoskeletal Disorders

Fig. 3

From: Modified posteromedial approach for treatment of posterior pilon variant fracture

Fig. 3

Illustration figures of case 7. a The fracture line of PM fragment did not extend into posterior colliculus but the size of PM fragment was relatively large. b The modified PM incision which was composed of vertical and transverse branch. The Achilles tendon (dotted line) and medial malleolus were also marked. c, d Reduction of the PL fragment: using a large periarticular clamp. After contoured buttress plate was placed, the intraoperative fluoroscopic image of lateral view was taken. e A medially based plate and two posterior-to-anterior lag screws were used to stabilize the PM fragment. f Final intraoperative fluoroscopic image of the patient. The PL buttress plate was place obliquely

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