Ankle fractures lateral malleolar fractures non operative treatment 2. Lateral malleolar fracture with deltoid injury or bimalleolar or trimalleolar fracture bimalleolar fracture and right ankle dislocation on xray anteroposterior. Ankle fracture weber type a this leaflet offers more information about your weber type a ankle fracture. Weber b ankle fractures were defined as stable when having a medial clear space mcs of weber classification of ankle fractures assoc prof craig hacking and assoc prof frank gaillard et al. The ankle fracture management system was developed to be the most comprehensive set available for the treatment of common ankle fracture injuries. Objective this study aimed to determine if surgery is superior to nonsurgical management for the treatment of these fractures. Weber a fracture this information will guide you through the next 6 weeks of your rehabilitation. Ankle fractures posterolateral approach 4192016 34 maissoneuve fracture.
A novel algorithm for isolated weber b ankle fractures. It was described by danis and subsequently weber, 5 6 and it is based on the fibular fracture in relation to the syndesmosis on radiography fig 4. Rehabilitate r esuscitate advanced trauma life support. Diabetes mellitus is a common medical condition that is increasing in prevalence both closed and open management of ankle fractures in diabetics have higher complication rates solution. Hawarden d 2018 virtual fracture clinic in the management of foot and ankle fractures res rev nsights, 2018 doi. Both these groups pose unique challenges for appropriate management of these injuries. If you have any further questions or concerns, please speak to the staff member in charge of your care. Weber b fracture v1 this information will guide you through the next 6 weeks of your rehabilitation. Fracture of the base of the 5th metatarsal is one of these. In weber c fractures the syndesmosis is stabiles ed by a syndesmosis screw between the plate on the lateral side and the outer cortex of the fibula. Fracture of the lateral malleolus distal to the syndesmosis the connection between the distal ends of the tibia and fibula. Stabilitybased classification for ankle fracture management. This fracture classification system, based on the level of the fibular fracture in relation to the ankle joint, can help determine which injuries are likely to require surgical intervention.
You have sustained a fracture to your fibula outside ankle bone this is classified as a stable weber a type fracture. A fractured ankle can range from a simple break in one bone, which may not stop you from walking, to several fractures, which forces your ankle out of place and may require that you not put weight on it for a few months. In this study, we examine whether malreduction of syndesmosis injury associated with malleolar ankle fracture can be avoided using weber s three indexes in the mortise view. Weightbearing vs gravity stress radiographs for stability evaluation of supinationexternal rotation fractures of the ankle.
Fortunately, your fracture is minor and does not require an operation or plaster cast to treat it successfully. This is classified as a stable weber b type fracture. Mri had a sensitivity of 100% and specificity of 93% for diagnosis of aitfl rupture, using ankle arthroscopy as the benchmark. Ankle fracture is one of the most common lower limb fractures for they account for 9% of all fractures representing a significant portion of the trauma workload. This is a followup leaflet to your recent telephone consultation with the fracture care team explaining the ongoing management of your injury.
If the fracture is completely undisplaced with a congruent ankle mortise, the options are for either a shortleg nonweightbearing cast for 6 weeks, or open reduction and internal fixation. Shared care plan eastbourne 023 414928 conquest 01424 757576 email esht. Lateral malleolus fractures nonoperative management 23 mm displacement no medial widening or syndesmotic injury cast or boot. In this study, we examine whether malreduction of syndesmosis injury associated with malleolar ankle fracture can be avoided using webers three indexes in the mortise view. Fractures of the ankle joint are among the commonest fractures in adults, with an incidence of up to 174 cases per 100 000 persons per year. The commonly used weber classification relies solely on the level of the lateral malleolar fracture relative to the ankle joint line. Use the video or information below to gain a better understanding of your injury and what can be done to maximise your recovery. Ankle fracture weber a east sussex healthcare nhs trust. Any ankle fracture that does not satisfy the definition of a weber c or 44c ao classification or laugehansen pronation external rotation classification ankle fracture 2. Methods a pragmatic, multicentre, singleblinded, combined randomised controlled trial and observational study. What is a weber type a ankle fracture and why have i got one.
Over five million ankle injuries occur each year in the united states alone 1. Weber classification of ankle fractures assoc prof craig hacking and assoc prof frank gaillard et al. Children remodel avhap educational talk 28 june 2011, duy thai. Ankle fracture weber b east sussex healthcare nhs trust. Ankle fracture af is a common injury with potentially significant morbidity associated with it. The improved smallfragment implants and instruments, anatomic plates, and locking screw technology allow the effective treatment of the majority of ankle fracture patterns. You will be given a special ankle support, which can be worn over your socks. The different places where your ankle can fracture are described as. Any fracture that is open or where there is neurovascular compromise 3. So do we change the indications and goals of treatment. Danisweber classification of ankle fractures physiopedia. Plaster immobilisation of a stable fracture leads to secondary bone healing with fracture callous 5. A weber a is a simple fracture to the bottom part of the fibula bone on the outer part of your leg.
It takes into consideration the position of the distal fibular fracture in relation to the syndesmosis of the ankle joint. The weber ankle fracture classification or danis weber classification is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint. The danisweber classification for ankle fractures is simple and the most useful for primary care management. There is still the possibility of a weber c fracture stage 4, i. The weber ankle fracture classification or danisweber classification is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint. Virtual fracture clinic in the management of foot and ankle. This normally takes approximately 6 weeks to unite heal although pain and swelling can be ongoing for 36 months. Weber b fractures stable if undisplaced and mortice intact full below knee plaster with crutches re xray at 1 2 weeks plaster for 6 weeks total x ray at 6 weeks out of plaster clinical union no pain avhap educational talk 28 june 2011, duy thai.
The danisweber classification often known just as the weber classification is a method of describing ankle fractures. Weber b ankle fractures were defined as stable when having a medial clear space mcs of a normal mortise relationship on weightbearing radiographs. Please see the picture below to understand where this injury is. The weber classification is simple, reliable, and reproducible, and thus it has been utilized routinely by emergency physicians. Weber classification of ankle fractures radiology reference. The most common age groups affected are young active patients, sustaining high energy trauma and elderly patients with comorbidities. If the fracture is displaced, the only option is open reduction and internal fixation. Ankle fractures are increasingly common injuries that necessitate a careful approach for proper management. There are many different types of fractures of the ankle. Introduction ankle fractures are one of the most common lower limb fractures 1.
Reduce if displaced may be by open reduction, closed manipulation, or traction 3. Management fracture management stages include 4 rs. Reexamination on the ankle films there was no sign of an oblique fracture of the lateral malleolus, so we can exclude a weber b fracture. Retain to maintain position while healing occurs by internal fixation, external fixation, or conservative methods 4. Clinical union precedes radiological union by 4 6 weeks 6. There are three classifications based on the location and type of fracture. Ankle fractures resident comprehensive fracture course 4192016 2 introduction ankle fractures are extremely common treated by a wide variety of surgeons complex injury not just interns case 4192016 3 introduction ankle fractures highenergy pilon fractures lowenergy pilon fractures atypical ankle fractures 4192016 4. Classification type a below level of the ankle joint tibiofibular syndesmosis intact deltoid ligament intact medial malleolus often fractured usually stable, although occasionally requires open reduction and internal fixation orif type b at the level of. Fiftyone patients meeting these criteria were treated nonsurgically with protected weight bearing and serial radiography for 1 year. This means that one or more of the bones that make up the ankle joint are broken. Background isolated type b ankle fractures with no injury to the medial side are the most common type of ankle fracture. Weber classification is a simple method for classifying fractures of lateral ankle fractures and is based on radiographic criteria. Understanding risks and complications in the management of. Both the end of the fibula 1 and the tibia 2 are broken and the malleolar fragments arrow.
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