It provides data on age, sex, domicile of the subject, duration of hospital stays, primary and secondary diagnosis, and surgical procedures performed during the hospital stay. We identified all ankle fracture patients who were treated operatively in Finnish hospitals between Januand Decemfrom the Finnish National Hospital Discharge Register (known as the Care Register for Health Care since 1994), which is maintained by the Finnish Institute for Health and Welfare. This register study was performed on the whole population of Finland (5,525,292 inhabitants on the last day of 2019) from 1987 to 2019. We analyzed the incidence, annual trend, age and sex distribution, associated comorbidity, and seasonal variation of operatively treated ankle fractures in Finland between 19. In addition, according to current knowledge, some of the ankle fractures that have been treated operatively before can now be treated nonoperatively ( 8- 10), thus the number of surgeries could be expected to be declining. We assume that, as the population ages, the proportion of older people with more comorbidities and more difficult fractures will increase. In previous studies, the incidence of ankle fractures increased ( 5, 6), which was considered to be due to an aging population and increased recreational activities ( 7). In a large Swedish registry study (1987–2004), the incidence of ankle fractures treated in hospital was 71 per 100,000 person-years, and 83% of fractures required operative treatment ( 4). In the UK data, ankle fractures are the third most common hospital-requiring fracture after hip and wrist fractures ( 3).Īnkle fractures are most common in postmenopausal women and younger men, and the annual incidence increases in wintertime ( 2). The incidence of ankle fractures is estimated at 179–187 per 100,000 person-years ( 1, 2). It is named after Jules Germain Francois Maisonneuve, French surgeon (1809-1897) 1,4.Ankle fractures are one of the most common fractures requiring operative treatment. reduction and stabilization of the fibular fractureįracture involving distal 2/3 of the fibula may compromise ankle mortise, and so may benefit from surgery 6įracture involving proximal 1/3 fibula often managed non-operatively ligamentous injuries may be managed non-operatively Reduction and stabilization of medial malleolus fracture and/or ligamentous injuries 6 In some cases, internal fixation of a posterior malleolar fracture fragment may result in sufficient stabilizationįixation screws may or may not be removed after several weeks of healing 6 bioabsorbable constructs, syndesmotic staples, hooks, or cerclage wires) commonly achieved by trans-syndesmotic screws. Alternative stabilization mechanisms exist (e.g. Internal fixation of the distal tibiofibular syndesmosis 6 Treatment and prognosisĪlthough management is variable depending on the complexity of injuries, this type of fracture pattern is generally managed by operative treatment.
#Weber b distal fibula fracture icd 10 plus
The Maisonneuve fracture is defined by the above findings plus a proximal fibular fracture (high Weber C), usually in the proximal third 7. When these ankle injury types are seen without a fracture of the lateral malleolus, further imaging of the entire fibula is recommended. Ankle views may show a fracture of the medial malleolus or widening of the medial ankle joint space due to deltoid ligament injury, as well as widening of the distal tibiofibular syndesmosis.
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