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Abstract Summary 126 Summary The pattern of injury to the ankle joint depends on many factors including the age of the patient, the quality of the bone, the position of the foot at the time of injury, and the direction, magnitude, and the rate of the loading forces. The incidence of ankle fractures is increasing, and studies have shown that fracture incidence among the elderly has doubled over the last 40 years. Among athletes, both profession al and amateur, the incidence has also increased. Due to its position and characteristics, the ankle is subject to numerous traumas, and its fracture is the most frequent among the load - bearing joints. Ankle injuries including distal fibular fractures represent the most common injuries of the lower extremity. The pattern of injury to the ankle joint depends on many factors including the age of the patient, the quality of the bone, the position of the foot at the time of injury, and the direction, magnitude, and the rate of the loading forces. The vast majority of ankle fractures are sustained via rotational mechanism. It is now universally agreed that perfect reduction with rigid fixation is the cornerston e in preventing or at least delaying the onset of arthritic changes of the ankle joint after such serious injury. Various studies showed that the displacement of the talus faithfully followed that of the lateral malleolus. So f ixation of the fibula ha s since been proven to be the standard for treatment of ankle fracture - dislocations. The recommended operative treatment of oblique trans - syndesmoidal fibular fractures includes fixation with lateral neutralization or posterolateral antiglide plates. Posterior antiglide plating has been presented as alternative to lateral plating of distal fibula fractures. This prospective study included 20 patients who were admitted to Tanta University Hospitals with closed distal fibula fracture type Weber (B). |