Trimalleolar Fracture: Lateral Decubitus Approach

Study Trimalleolar Fracture: Lateral Decubitus Approach through an immersive first-person surgical case from the Bone Reconstruction channel on Surgie. The module focuses on positioning in lateral and dorsal decubitus, posterolateral approach to the fibula and posterior malleolus, and fixation of the lateral malleolus with a low-profile locking plate.

Procedure Overview

The case is organized for structured review of surgical anatomy, procedural sequencing, instrument handling, reduction or reconstruction strategy, implant positioning, and intraoperative verification. Expert narration connects the visual field with the decisions documented during the procedure.

What You Will Observe

• Positioning in lateral and dorsal decubitus
• Posterolateral approach to the fibula and posterior malleolus
• Fixation of the lateral malleolus with a low-profile locking plate
• Indirect reduction and fixation of the posterior malleolus with a contoured plate
• Medial approach with joystick wire and cannulated screw with washer

Key Technical Decisions

• Anatomical Reduction of the Fibula
• Fibula Fixation
• Posterior Anti-Shear Stabilization
• Low-Profile Implant
• Biological Preservation

Included With This Training

• Technical PDF summarizing the procedure, operative sequence, and key review points.

Learning Format

First-person operative footage, surgeon-led narration, and case-based visual review designed to support preparation before supervised clinical training.

Educational notice: This content supports professional education and does not replace formal training, institutional protocols, patient-specific planning, or supervised clinical judgment.