[Malleolar Fractures - Indication for Nonoperative and Operative Treatment].

Krause, Fabian; Seidel, Angela (2022). [Malleolar Fractures - Indication for Nonoperative and Operative Treatment]. Therapeutische Umschau. Revue therapeutique, 79(7), pp. 338-342. Huber 10.1024/0040-5930/a001371

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Malleolar Fractures - Indication for Nonoperative and Operative Treatment Abstract. In order to understand the trauma mechanism and the expected pattern of injury, malleolar fractures can be classified according to Lauge-Hansen [1]. For isolated lateral malleolar fractures, the Weber classification is also frequently used [2]. For most Weber A fractures and 80% of Weber B fractures conservative treatment is indicated. In all isolated Weber B fractures a supination-external rotation (SER) injury has to be distinguished from a pronation-abduction (PA) injury according to the Lauge-Hansen classification. In SER fractures, stability should be assessed by a gravity stress and a weightbearing radiograph. If the fracture is stable, it can be treated nonoperatively. We recommend surgical treatment for unstable Weber B SER injuries, Weber B PA injuries, and Weber C fractures.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Krause, Fabian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0040-5930

Publisher:

Huber

Language:

German

Submitter:

Pubmed Import

Date Deposited:

22 Aug 2022 10:59

Last Modified:

05 Dec 2022 16:22

Publisher DOI:

10.1024/0040-5930/a001371

PubMed ID:

35983941

URI:

https://boris.unibe.ch/id/eprint/172219

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