April 20, 2015
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Weber B fracture repair outcomes not significantly enhanced by syndesmosis transfixation

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Patients with supination-external rotation ankle fractures, called Weber B-type fractures, who were not treated with syndesmotic fixation attained good functional results, according to results of a prospective study. The patients also had no increased incidence of osteoarthritis and experienced less pain than patients who underwent syndesmosis screws fixation for the same injury.

In all, 140 patients with supination-external rotation (SER) ankle fractures underwent surgery and were included in a prospective study that analyzed their outcomes at a mid-term follow-up. Tero Kortekangas, MD, presented the results at a recent meeting.

“Our results showed constant improvement in functional results in the non-syndesmotic group within the follow-up time,” Kortekangas said. “Syndesmotic fixation did not influence the functional results or radiological findings after a minimum of 4 years of follow-up compared to no syndesmotic fixation.”

Click here to read the full story in the March issue of Orthopaedics Today Europe.