| Abstract ID |
| 20260050 |
| Category |
| Foot & Ankle |
| Preferable Presentation |
| Both |
| Title |
| RADIOLOGICAL OUTCOME OF FIBULAR NAILING IN ANKLE FRACTURES |
| Author |
|
| Presenter |
| Samuel Ka Kin Ling |
| Abstract |
| Background: Distal fibular fractures are conventionally treated with open reduction and internal fixation, particularly when displacement of fracture and instability of the ankle joint is present. Locking fibular intramedullary (IM) nailing offers a minimally invasive alternative, especially in high-risk patients with poor soft tissue conditions or comorbidities. This study evaluates the early radiological outcomes of use of locking fibular IM nail in Weber B ankle fractures. Methods: A prospective case series of 14 Weber B ankle fracture patients treated with fibular IM nailing between July 2024 and December 2025 were evaluated. Postoperative X-ray of ankle AP mortise view were measured, radiological markers utilized include dime sign (malalignment taken as disruption of >2 mm), Shenton’s line (malalignment taken as disruption >2 mm), talocrural angle (normal range taken as 8–15°, and <5° deviation from contralateral side), and talar tilt (normal range taken as <2°). Results: Postoperative radiological measurements of all 14 cases had preserved intact dime sign and Shenton’s line; the mean talocrural angle and talar tilt was respectively 11.5±2.5°, and 1.1±0.7°, of which none were beyond the normal range. No major complications nor revision operations were recorded in the short-term follow-up. Conclusion: Fibular IM nailing was able to achieve satisfactory radiological anatomic reduction and fixation for Weber B ankle fractures, confirming its efficacy as a viable alternative to open reduction and internal fixation in restoring ankle biomechanics. |