![]() Isolated fibular fractures at the level of the syndesmosis (Weber B) without associated medial injury should be placed in a short leg backslab (ankle at plantargrade) and remain NWB.įractures above the syndesmosis (Weber C) involve disruption of the syndesmosis and are usually associated with medial ankle injury. Talar shift or widening of the mortice indicates instability.įractures below the syndesmosis (Weber A avulsion type injuries) without associated medial ankle #/tenderness can be treated in a walking/CAM boot and may mobilise WBAT. Fractures distal to the syndesmosis are unlikely to be associated with ligamentous injury and therefore likely to be stable.įibula fractures that are associated with medial fractures or medial ligamentous injury are likely to be unstable despite normal alignment on x-ray. The stability of a fibula fracture determines treatment. Open wounds should be cleaned and dressed in a sterile manner.Fracture dislocations should be reduced. ![]()
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