Introduction:

Fractures of the posterior malleolus are common and resulting from rotational injuries of the ankle, which are ignored due to the spontaneous reduction of these fragments after open reduction of the lateral malleolus. The current trend is to perform the anatomical correction of the joint and to avoid an intra-articular step.

Objective:

To review the current state of knowledge and classification of posterior tibial malleolus fractures and treatment trends.

Methods:

A review was carried out of the PubMed literature of papers published in English in the period 2011-2021; the search terms adopted were “posterior tibial malleolus fractures”, “posterior tibial malleolus fracture classification”, reatment of fractures of the posterior tibial malleolus". Articles freely accessible or through Clinical Key and Hinari service were also reviewed.

Conclusions:

The anatomical repositioning of the posterior tibial malleolus in ankle fractures allows to achieve better results. The classifications and the posterolateral approach help to achieve this.

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