Abstract
100 fibula fractures sustained at or below the syndesmosis were studied retrospectively. They were consecutive trauma clinic referrals with an initial conservative treatment plan. All initial radiographs studied were taken prior to application of below knee plaster splintage. Weber A and B classification was n=47 and 53 respectfully. Serial radiographs showed that none of the 100 ankles developed further displacement during their treatment. There was 5.6 and 6.6 individual radiographs and 4.2 and 4.3 clinic reviews for Weber A and B respectfully. We conclude that Weber A and B fractures without talar shift are stable injuries. Once the decision has been made to treat them conservatively, no further radiographs need be requested. This will result in reduction to two clinic reviews and one single initial anteroposterior and lateral radiograph. Significant cost savings to the health service and reduction in ionising radiation exposure to the patient will result.
The abstracts were prepared by Mr Richard Buxton. Correspondence should be addressed to him at Bankton Cottage, 21 Bankton Park, Kingskettle, Cupar, Fife KY15 7PY, United Kingdom
