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Related Experiment Video

Updated: Nov 4, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Fibula fractures management.

Gianluca Canton1, Andrea Sborgia2, Guido Maritan2

  • 1Department of Medical, Surgical and Life Sciences, Orthopaedics and Traumatology Unit, Trieste University, Trieste 34149, Italy. gcanton@units.it.

World Journal of Orthopedics
|May 31, 2021
PubMed
Summary
This summary is machine-generated.

Distal fibula fractures, the most common ankle injuries, are diagnosed via clinical exams and X-rays. Treatment ranges from conservative to surgical, with outcomes generally excellent for these ankle fractures.

Keywords:
AnkleDistal fibulaFibula fractureLateral malleolusManagementTreatment

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Isolated distal fibula fractures constitute the majority of ankle fractures.
  • These injuries commonly result from low-energy trauma involving external rotation and supination.
  • Accurate diagnosis is crucial for effective management.

Purpose of the Study:

  • To review the diagnostic methods and treatment strategies for isolated distal fibula fractures.
  • To evaluate the outcomes and complications associated with different management approaches.
  • To highlight the importance of assessing ankle stability in fracture management.

Main Methods:

  • Diagnosis relies on clinical assessment and radiographic examination, including stress X-rays for mortise instability.
  • Treatment decisions are based on fracture type, displacement, and ankle stability.
  • Management options include conservative (non-surgical) and surgical interventions.

Main Results:

  • Conservative treatment yields excellent results for simple, minimally displaced fractures without instability.
  • Surgical intervention is indicated for unstable fractures or those with significant displacement.
  • Outcomes are generally excellent, though wound healing complications are noted with plate fixation.

Conclusions:

  • Management of distal fibula fractures should be tailored to fracture characteristics and patient factors.
  • Conservative management is a viable option, even for unstable fractures in elderly or comorbid patients.
  • While surgical outcomes are typically favorable, careful consideration of potential complications is necessary.