This article is more than 5 years old. Information may no longer be current.

Study identifies factors influencing outcomes of AO-Weber B-type fractures after operative, conservative treatments

Van Schie-Van der Weert EM. Arch Orthop Trauma Surg. 2011. doi: 10.1007/s00402-011-1397-z

Add topic to email alerts

Receive an email when new articles are posted on

Please provide your email address to receive an email when new articles are posted on .

Subscribe

Added to email alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

Back to Healio

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.

Back to Healio

Satisfactory outcomes for AO-Weber B-type ankle fracture can be reached through operative or nonoperative treatment based on stability and the surgeon’s judgment, according to this study from researchers in the Netherlands.

The team performed a retrospective cohort study of 185 patients with AO-Weber B-type ankle fractures, recording the characteristics of the patients, fractures and treatment. The Olerud-Molander Ankle Score, American Orthopaedic Foot and Ankle Society ankle-hindfoot score, and the Visual Analog Score were all used to measure clinical and functional outcomes, as well as overall satisfaction.

Overall, the researchers wrote, 82 patients were treated conservatively and 103 underwent operative treatment. Most of the conservatively treated fractures were AO-Weber B1.1 type fractures, with fractures displaying fibular displacement — AO type B1.2 and Lauge-Hansen type SER-4 — were mostly treated operatively.

Outcome scores in the nonoperative group, according to the study abstract, were independently negatively affected by age, affected side, BMI, fibular displacement and duration of plaster immobilization. Among those patients treated operatively, the duration of plaster immobilization was labeled as a factor in negative outcomes.