الفهرس 
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Abstract
Vertical fractures of the medial malleolus are fixed with cancellous screws placed perpendicular to the fracture site. It is important to buttress the fracture by placing a screw with a washer at the proximal apex of the fracture or to use a small tubular plate or T-plate as a buttress.The aim of the current study was to assess the radiological and functional outcomes of open reduction and internal fixation with T-shaped plate (antiglide plate) of vertical shear medial malleolus fracture.The present study represented an interventional clinical study. This study included 22 patients underwent open reduction and internal fixation with T-shaped plate (antiglide plate) for treating vertical shear fractures of the medial malleolus at orthopedic department, Zagazig University Hospitals.The fourteen (14) patients have isolated vertical medial malloulus fracture which fixated by small T antiglide plate , The other Eight (8) patients have vertical medial malleolus fracture associated with lateral malleolus which fixated one third semi tubular plate then fixation the vertical medial malleolus fracture by small T antiglide plate.