Weber B ankle fracture: an unnecessary fracture clinic burden

Injury
Anthony G Martin

Abstract

Fifty-three patients with ankle fractures presenting to a trauma clinic at a busy district general hospital were used for this study. All subjects sustained fibular fractures at the syndesmosis without demonstrable medial instability or mortice incongruity. All cases were collected consecutively. Radiographs and case notes were studied for each patient. All fractures were categorised as Weber B [Pratique de l'osteosynthese. Les fractures malleolaires (1949)] without medial malleolar fracture. Data collected included the number of radiographs taken per patient and clinic reviews until discharge. Duration of immobilisation was recorded as well as weight bearing status. None of the 53 fractures showed any change in position following serial radiology. No patient underwent manipulation or internal fixation of the fracture. For Weber B fractures there was an average of six radiographs and 4.3 clinic reviews until discharge. There was a median time of 5.7 weeks spent in plaster immobilisation for these fractures. We conclude that once the decision is made to treat Weber B fractures as stable injuries they do not require regular review and serial radiographs. They require only one initial radiograph. Significant reductions in the numb...Continue Reading

Associated Clinical Trials

References

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Citations

Dec 27, 2011·Journal of Orthopaedic Trauma·Christian C M A DonkenCees J H M van Laarhoven
Jul 21, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Graham Ross HastieJames L Barrie
Aug 11, 2016·The Journal of the American Academy of Orthopaedic Surgeons·James R HolmesTodd A Irwin
Nov 25, 2014·The Physician and Sportsmedicine·Mark C Drakos, Conor I Murphy
Feb 4, 2011·Foot & Ankle International·Harri J PakarinenJukka Y Ristiniemi
Aug 5, 2016·JBJS Reviews·Clifford B JonesDebra L Sietsema
Sep 4, 2008·Annals of the Royal College of Surgeons of England·Nitin JainMatt Dawson
Apr 2, 2008·The Journal of Bone and Joint Surgery. British Volume·R DattaniT P Selvan
Jan 9, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Joseph T FennellyUNKNOWN AUGMENT Collaborative
Aug 15, 2006·Clinics in Podiatric Medicine and Surgery·Denise M MandiPatris A Toney

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