â¢ discuss principles of malleolar fracture fixation. Malleolar fractures. Malleolar fractures include injuries of bones (malleoli) and. or ligaments. There is the medial malleolus with the. deltoid complex (1) and the lateral malleolus with the. lateral ligaments (2). There is also the anterior tubercle with the anterior. syndesmotic ligaments (3) and the posterior tubercle with.
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