Weber B / SER Ankle Frx: Non Operative Treatment

- Discussion:
     - see: stability of weber b fractures:
     - isolated Weber B fractures (no medial injury) can be treated w/ a cast if there is upto 3 mm of fibular displacement;
           - it has been observed that x-rays tend to over-estimate displacement (as compared to CT scans) and because the apparent displacement may be mostly due to
                  internal rotation of the proximal fibula as compared to pathologic external rotation of the external fibula;
     - some orthopaedist will treat the fracture in a short leg cast and will have the patient return to clinic in 3 days;
           - if displacement occurs, then the frx is unstable and requires ORIF;
     - alternatively the surgeon can order a "AP stress view" w/ a lateral directed force inorder to look for displacement

- DVT Prophylaxis for Frx Trauma

 Comparison of two conservative methods of treating an isolated fracture of the lateral malleolus.

 Isolated fracture of the lateral malleolus requires no treatment. 49 prospective cases of supination-eversion type II ankle fractures.

 Closed treatment of ankle fractures. Stage II supination-eversion fractures followed for 20 years.

 Stable lateral malleolar fractures treated with aircast ankle brace and DonJoy R.O.M.-Walker brace: a prospective randomized study.

Comparison of Manual and Gravity Stress Radiographs for the Evaluation of Supination-External Rotation Fibular Fractures

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, March 12, 2012 11:51 am