[Functional evaluation in Weber B ankle fractures with and without transsyndesmotic fixation].

Abstract

Introduction: the ankle is a modified hinge-shaped synovial joint. Multiple studies have been performed where no significant difference has been observed, as well as similar functional evaluation between patients with open reduction and internal fixation of the ankle with and without transsyndesmotic fixation of Weber B ankle fractures.

Objective: to determine a comparison by means of functional evaluation based on the AOFAS scale in patients with and without transsyndesmal fixation.

Material and methods: cross-sectional and retrospective study. Clinical-radiographic records of patients with a diagnosis of Weber B type ankle fractures who have undergone surgical procedures and are in the follow-up period in the Traumatology and Orthopedics Unit from January 1, 2022 to January 1, 2024 were included.

Results: mean age was 40.1 ± 13.3 years. 47.9% (n = 46) of the files were female, and 52.1% (n = 50) were male. 47.9% (n = 46) of the patients underwent transindorsal fixation, while 52.1% (n = 50) did not undergo transindorsal fixation. The primary mechanism of injury was pronation with abduction 43.8% (n = 42) and supination with external rotation with 40.6% (n = 39). The AOFAS score was reported with 83.3% (n = 80) was excellent and the remaining 16.7% was good.

Conclusion: patients with transsyndesmotic fixation in patients with Weber B ankle fractures have a better functional assessment by AOFAS scale compared to those without transsyndesmotic fixation.