Fracture dislocation, management and functional outcomes Alcívar Hospital 2024-2025.

Abstract

Introduction: Ankle fracture-dislocations, especially Weber type B fractures, are serious injuries that involve both fracture and dislocation, with high energy and a risk of soft tissue involvement. Management involves accurate radiographic diagnosis and a surgical approach, often staged, to restore anatomy and stability.

Objective: This study investigated the clinical-surgical management and functional outcomes of patients with ankle fractures at Alcívar Hospital from 2024–2025 and evaluated the treatment modalities and complications.

Materials and Methods: This was a retrospective study of Weber-type fractures classified according to the AO/OTA system. Data were obtained from medical records and analyzed. Demographic and clinical characteristics, treatment modalities, and outcomes were evaluated.

Discussion: This cohort study demonstrated that pain and functional limitations are universal. 85% of patients underwent surgical treatment. Soft-tissue assessment is crucial; staged management with external fixation or Steinmann pins is vital to prevent necrosis and wound complications in patients with severe edema or in the absence of the "wrinkle sign."

Conclusion: Surgical management of Weber B ankle fracture-dislocations is effective and predominant. Appropriate soft-tissue assessment and management via staged strategies (such as external fixation or Steinmann pins) are essential to optimize functional outcomes and minimize complications, especially necrosis, thereby ensuring complete recovery.