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Mechanism of injury
Fall
Foot anchored to the ground while body
lunges forward.
combined abduction external rotation from
an eversion force.
If malleolus pushed off # is usually oblique,
if pulled off it is transverse.
Clinical features
h/o twisting injury
Intense pain
Inability to stand on leg
Swelling
Tenderness
If both medial & lateral sides are tender
Treatment
Dont delay treatment
Treat entire injury
Reduce accurately
Check & maintain reduction
Objective of treatment
Fibula restored to full length
Talus must sit squarely in mortise
Medial joint space restored to normal width
Oblique x-ray shows no tibiofibular
displacement
Undisplaced weber-A
fractures
Usually stable
Post-op management
Movements regained before applying below
Early complications
Vascular injury
With severe fractures pulses may be
changed
Wound breakdown & infection
Diabetics are at high risk for developing
Late complications
Incomplete reduction
Non union
Joint stiffness
Osteoarthritis