Weber b fracture long term effects

Effects of isolated Weber B fibular fractures on the

Weber B fractures. ankle fracture. Effects on tibiotalar contact area of simultaneous displacement posteriorly and superiorly of the fibula have not been studied. Long-term results of displaced bimalleolar fractures. J Bone Joint Surg, 48A (1966), pp. 1065-1078 Long term effects of ankle fractures have been reported to include physical, psychological, and social consequences [ 9 ]. It has been reported that physical impairments following ankle fractures may include pain, functional impairment and the development of post-trauma arthritis [ 16 ] Objective: Postoperative care for ankle fractures is generally 1 of 2 regimens: 1) functional treatment combined with early weightbearing (EWB), or 2) immobilization in a cast/orthosis for 6 weeks without weightbearing (6WC). The objective of this study was 2-fold: 1) to follow a prospective group treated with EWB as to long-term subjective and objective outcomes, and 2) to compare a subset of. Weber-B fractures, does open reduction and fixation improve outcome? the POSTFIX-trial protocol, a multicenter The POSTFIX-study is designed as a multicenter randomized clinical trial to analyse the effects of anatomical therefore to worse outcome on the long term. Several cadaveric ankle studies however, showed different cutoff.

Weber classification of ankle fractures. The Weber ankle fracture classification (or Danis-Weber classification) is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint, specifically the distal tibiofibular syndesmosis. It has a role in determining treatment The inclusion criterion was a diagnosis of a displaced distal fibular (Weber B) fracture (Fig. 1, Fig. 2). Some patients also had additional pathologic features such as fractures of the medial malleolus (n = 3) or syndesmotic ruptures (n = 2). The exclusion criterion was a lack of follow-up data showing clinical or radiographic healing Vertebral fractures have a major impact on a patient's quality of life. The Study of Osteoporotic Fractures (SOF) assessed the effect of vertebral fractures in 7723 women aged > 65 years. 11 Impact on quality of life was assessed by changes in disability, pain and fear for the future. With every additional fracture, patients experienced a. Long term effects of ankle fractures have been reported to include physical, psychological, and social consequences. [ 9] It has been reported that physical impairments following ankle fractures..

Life impact of ankle fractures: Qualitative analysis of

If your talus fracture is treated promptly and effectively, there should be no long-term complications. Two complications can develop, however. One is post-traumatic arthritis. Damage to the.. fractures.3 The majority of these changes occur within the first twoweeks of immobilization. 1,4,5 Although the evidence is conflicting, most studies tend to report that early rehabilitation after ankle fractures could avoid these side effects in the short term.6 Long-term follow-ups have not demon-strated functional differences between early mobi Introduction. Ankle injuries are a significant source of morbidity for athletes, accounting for 15-25% of all sports injuries. 1-3 The public health impact of these injuries is thought to increase in the future as the current trend is to practice sports at all ages. 4 Therefore, surgeons have to inform patients on the possibility and modality that they can return to high demand sports. Spiral fractures can occur when one extremity, such as your foot, is planted while your body remains in motion. These are commonly the result of sports injuries or falling from a short distance We analyzed six years of a single consultant's fracture clinic to see how many patients with stable ankle fractures chose a cast, brace or RICE regime, after appropriate counseling. Materials and methods. All patients with stable Weber A or B ankle fractures seen between 1st June 2005 and 4th June 2013 were included

Patients with B-type-fractures (10 days, range 4-21) stayed a significantly shorter period than patients with C-type-fractures (20 days, range 5-32) (p = 0.034). The median incapacity of work was 120 days (range 10-700) and there was no significant difference between B- and C-type-fractures Spinal manipulation or adjustment is a manual treatment where a vertebral joint is passively moved between the normal range of motion and the limits of its normal integrity, though a universally accepted definition does not seem to exist. 1 It is occasionally used by osteopaths, physiotherapists and physicians, and it is the hallmark treatment of chiropractors Opioid analgesics are known to impact on the central nervous system (CNS). These CNS side effects, such as dizziness and confusion, have been shown to lead to an increased risk of falling with subsequent fractures in elderly patients being treated with opioids. The risk of experiencing fractures has been shown to be dependent on the substance administered Learn about the different types of fibula fracture or breaks that impact the calf bone at the back of the lower leg. The fibula can break in several places and different ways. We explain the. Doctors classify ankle fractures according to the area of bone that is broken. For example, a fracture at the end of the fibula is called a lateral malleolus fracture, or if both the tibia and fibula are broken, it is called a bimalleolar fracture. Two joints are involved in ankle fractures: Ankle joint - where the tibia, fibula, and talus meet

A fibula fracture is a relatively common condition characterized by a break in the smaller of the long bones of the lower leg, known as the fibula. Symptoms typically include a sudden onset of sharp, intense, outer ankle or lower leg pain at the time of injury. This often causes the patient to limp or be unable to weight bear operative fixation for Weber B fracture as measured by the Olerud and Molander Score (OMAS) [26]. Secondary objectives include 1. A key secondary objective is to determine whether, in this patient group, EMADE will perform better than usual care in the short term (12 weeks post surgery) as measured by the EQ-5D-5 L quality o Unilateral closed ankle fracture (Weber type A, B or C) Aged from 18-65 years; 18.5 < BMI < 30 kg/m2; Undergoing surgical treatment; Exclusion Criteria: Additional fractures beside ankle fracture (e.g. multi-trauma following a car accident

Weber B ankle fractures can be stable or unstable depending on medial (deltoid) ligament competence. This study examined the idea that stable Weber B fractures do not need serial radiographs and follow up in fracture clinic. Fifty three patients with fibular fractures at the syndesmosis without medial instability or mortice incongruity were. In a recent series of 51 ankle fractures managed with syndesmotic fixation, 15 (30%) were Weber type B fractures, whereas 36 (70%) were Weber type C fractures. 24 This study did not have a control group, however, so the fact that syndesmosis screws were used does not mean that they were necessary for a satisfactory clinical result The issue is two-fold. We're only starting to understand the long-term consequences of these mobility-impacting injuries, says McGuine. Similar effects are being seen with recurring knee issues and their long-lasting impacts. The second problem is that the ankle is so fundamental to the entire body's operation, especially in running Furthermore, specific brain-bone interactions were recently described. The concomitant occurrence of a fracture impaired neurologic recovery and worsened outcomes after TBI, whereas fracture healing itself was improved in presence of a TBI [, , ]. However, little is known about the effects of bone fracture combined with TBI on the heart In this study, 21.07% of the fractures were Weber A (literature reports 5.5% to 27%), 58.93% were Weber B (literature reports 41% to 66.5%), and 20% were Weber C (literature reports 9% to 23%). 30,33,41 After controlling for covariates, obesity (BMI > 30 kg/m2) was associated with greater odds (OR = 1.78) of having a Weber C fracture (compared.

If a temporal bone fracture is suspected, immediate CT of the head with special attention to the temporal bone is recommended. The Weber and Rinne tuning fork tests can be done during the initial physical examination in conscious patients to help differentiate between conductive and sensorineural hearing loss. However, formal audiometric examination is required for all patients with temporal. type A, 29 cases Weber type B, four cases Weber type C fracture) were excluded from the study because they did not have a syndesmosis injury and fixation. Of seven patients who lost follow-up, five were Weber type B, two, Weber type C. Thirty-one of the remaining thirty-eight patients, who had been followed-up for at least 18 months, were.

Functional treatment and early weightbearing after an

  1. 1 Introduction. Ankle fractures are the third most common fracture among the elderly. As the population ages, ankle fractures in geriatric populations will become more widespread, with open injuries as a result of low-energy mechanisms making up a large proportion of these. Geriatric ankle fractures are associated with better survivorship and fewer complications than hip fractures and other.
  2. A bone fracture is another term for a broken bone. Depending on the location, type, and severity of the fracture, a doctor may recommend different treatment methods, including surgery, metal.
  3. Some fractures can be held in position with a cast. Some fractures require surgical fixation with devices like screws, plates, rods and frames. Blood supply. Blood delivers the components required for healing to the fracture site. These include oxygen, healing cells, and the body's own chemicals necessary for healing (growth factors)
  4. Every fracture carries the risk of failing to heal and resulting in a nonunion. While nonunions can occur in any bone, they are most common in the tibia, humerus, talus, and fifth metatarsal bone. Several factors contribute to a nonunion. If the bone ends that are fractured have been stripped away from the blood vessels that provide them with.
  5. The ankle trainer device shortened hospital stay and led to better Olerud-Molander ankle scores at three weeks follow-up compared to conventional physiotherapy for surgically treated Weber b ankle fractures. No long-term differences in terms of pain, function or ankle motion could be observed between patients treated with the ankle trainer.
  6. or, stable fractures are discharged with no further follow-up arranged. We aimed to exa
  7. Types of Fractures. Description. Closed Fractures. A closed fracture occurs when your bone breaks without leaving any open wound in the skin. In other words, your bone breaks through the skin and late recedes back into the wound. It is not possible to feel it through the skin. Open Fractures. An open fracture is the complete opposite of a close.

Any one of these bones can break. However, the most common ankle fracture is known as lateral malleolus, which occurs in the fibula This accounts for around 55% of all ankle fractures. If you break a bone but it remains aligned in the correct position, this is known as a non-displaced ankle fracture Ankle Fracture Overview. Ankle injuries are among the most common of the bone and joint injuries. Often, the degree of pain, the inability to walk, or concern that a bone may be broken is what. Osteoporosis in DMD. Fractures due to osteoporosis are frequent in DMD, 5 arising from the toxic effects of glucocorticoid therapy on bone metabolism along with the progressive dystrophinopathy, both of which are negative regulators of bone strength. Up to 60% of individuals with DMD present with low-trauma extremity fractures, often at the distal femur or tibia and fibula Schatzker classification system is one method of classifying tibial plateau fractures.. Increase in type number denotes increasing severity, reflecting an increase in energy imparted to the bone at the time of injury and also an increasingly worse prognosis 1.The most common fracture of the tibial plateau is type II

Weber classification of ankle fractures Radiology

  1. Patients with isolated, closed Weber B fractures (AO44-B1, -B2 or -B3) which are stable following open reduction and internal fixation. This includes those requiring syndesmosis stabilisation. 2. Patients aged 18 years and over. 3. Independently living. 4. Capable of independently reading and completing the study paperwork in English. Exclusion.
  2. Fractures are common; the average person has two during a lifetime. They occur when the physical force exerted on the bone is stronger than the bone itself. Your risk of fracture depends, in part.
  3. HIV and Aging: The Long-term Consequences of Successful Antiretroviral Therapy been associated with metabolic disorders in the general population.36 The absolute short-term risk of osteoporotic fractures remains low, but emerging data suggest that this risk may be greater than in controls.37 Whether HIV-infected women are at greater risk of.
  4. The concern is increased when the bisphosphonate is taken concurrently with another agent that may inhibit bone turnover, such as estrogen. The current patient package insert (PPI) for Fosamax (alendronate) states, The long-term effects of combined Fosamax and HRT on fracture occurrence and fracture have not been studied
  5. Our site uses cookies to improve your experience. You can find out more about our use of cookies in About Cookies, including instructions on how to turn off cookies if you wish to do so
  6. Fractures of the ankle joint are among the commonest fractures in adults, with an incidence of up to 174 cases per 100 000 persons per year (1). For a good long-term functional outcome to be.
  7. The aim of the current study was to describe long-term gait changes after talus fractures, identify patterns associated with poor outcome and discuss possible treatment options based on dynamic gait analysis. Twenty-seven patients were followed-up clinically and via gait analysis after talus fracture osteosynthesis. Continuous dynamic pedobarography with a gait analysis insole was performed on.

Percutaneous Plating of Weber B Fibular Fractures

  1. Pain assessment. 1.1.1 See the NICE guideline on patient experience in adult NHS services for advice on assessing pain in adults.. 1.1.2 Assess pain regularly in people with fractures using a pain assessment scale suitable for the person's age, developmental stage and cognitive function.. 1.1.3 Continue to assess pain in hospital using the same pain assessment scale that was used in the pre.
  2. Long-term outlook after a bone fracture In most cases, your cast will be removed after a few weeks but you must treat the limb with care for at least the next month or so. Leg fractures will take several months to heal. The weaker, temporary bone (callus) is still being replaced by real bone and can be easily injured..
  3. Stress fractures are common in foot and ankle bones because we continually place force on them by standing, walking, running and jumping. In a stress fracture, the bone breaks but usually does not shift position (become displaced). The forces that cause a stress fracture in the foot or ankle are similar to those when you bend a paper clip
  4. This fracture is not treated with surgery. Type B: Fracture at the same level of the ankle joint Type C: fracture above the level of the ankle joint and which damages the surrounding the ankle ligaments. Surgery is needed in this instance. Fractures of the ankle are the most frequent type of lower limb injury that require surgical treatment
  5. A Weber type A injury refers to a fibular fracture below the tibiofibular joint line, whereas a Weber type B injury occurs at the level of the joint line, and a Weber type C injury occurs above the joint line.5 The Weber classification system has substantial interobserver reliability and intraobserver reproducibility.26 A Maisonneuve fracture.
  6. eral density (BMD), significantly reduced fertility, psychological distress.

Acute and long-term management of patients with vertebral

Anteroposterior radiograph of the ankle after a minor fall shows a Weber B fracture of the distal fibula (arrowhead) in addition to a medial malleolar fracture and talar shift. A widespread pseudopermeative appearance is shown in the distal fibula and tibia (arrow). DXA demonstrated a T-score of −3.1 (severe osteoporosis). Figure Effects of extracellular histones on HL‐1 cells. Viability in counts/sec (A) and metabolic activity in absorbance at 540 nm (B) in the presence of 0.002, 0.02, 0.2, 2, 20, and 200 µg/mL extracellular histones after 6 hours (black circles) and after 24 hours (blue squares). *Values of 6 hours of exposure are significant to control Abstract. Osteoporosis is a debilitating disease that affects many older people. Fragility fractures are the hallmark of osteoporosis. Although nutrition is only 1 of many factors that influence bone mass and fragility fractures, there is an urgent need to develop and implement nutritional approaches and policies for the prevention and treatment of osteoporosis that could, with time, offer a. MN 566 Final. The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning fork over the patient's mastoid process, and when the sound fades away, the fork is placed without restriking it over the external auditory meatus. The patient is asked to let the clinical know when the sound fades away

Life Impact of Ankle Fractures - Medscap

  1. e the functional and radiographic outcome of Weber B and C ankle fractures with syndesmotic injury and compare the syndesmotic screw and the ANK nail. Material and Methods: Of thirty-one patients wit
  2. Kress JP, Gehlbach B, Lacy M, Pliskin N, Pohlman AS, Hall JB. The long-term psychological effects of daily sedative interruption on critically ill patients. Am J Respir Crit Care Med. 2003;168:1457-61. PubMed Article Google Scholar 29
  3. Ankle fracture is a common lower-limb injury requiring orthopaedic management. 41 While many patients have good to excellent clinical outcomes after a surgically or conservatively treated ankle fracture, 33 ankle fracture may have long-term consequences on physical, psychological, and social functioning, comparable to fractures of the hip and vertebrae. 52 Insufficient rehabilitation is a.
  4. Osteoarthritis (OA) is a leading cause of mobility-related disability in the United States. Due in large part to the aging population and the increasing rate of obesity, the prevalence of OA is expected to double by the year 2020. 1 Another factor that warrants consideration in the increasing rate of OA is joint trauma. Individuals who sustain a joint injury are known to be at substantially.
  5. [The role of the tibiofibular syndesmotic and the deltoid ligaments in stabilizing Weber B type ankle joint fractures--an experimental investigation]. or no fracture displacement. This concept is confirmed by the literature dealing with clinical mid- and long-term follow-up studies. Full text links Effects of ligament sectioning on the.
  6. Stress fracture symptoms. Symptoms of fibula stress fractures tend to include a gradual build-up of pain on the outside of the lower leg which eases with rest and increases with activity. It may be tender over the point of the fracture and there may be an aching or throbbing pain at night. See fibula stress fracture for more detailed information

From 2004-2014, hip fractures alone accounted for approximately 300 000 hospitalizations annually in the United States. 24 During the first 3 months after a hip fracture, a patient's mortality risk is 5 to 8 times that of a similarly aged person living in the community without a fracture. 25 Nearly 20% of patients with hip fracture.

Problems Associated with Ankle Fractures After Surgery

Weber B / SER Ankle Frx: Non Operative Treatment - Discussion: - see: stability of weber b fractures: - isolated Weber B fractures (no medial injury) can be treated w/ a cast if there is upto 3 mm of fibular displacement; - it has been observed that x-rays tend to over-estimate displacement (as compared to Ankle fractures are accompanied by a syndesmotic injury in about 10% of operatively treated ankle fractures. Usually, the total rupture of the syndesmotic ligaments with an external rotation force is associated with a Weber type B or C fracture or a Maisonneuve fracture Oophorectomy (/ ˌ oʊ. ə f ə ˈ r ɛ k t ə m i /; from Greek ᾠοφόρος, ōophóros, 'egg-bearing' and ἐκτομή, ektomḗ, 'a cutting out of') is the surgical removal of an ovary or ovaries. The surgery is also called ovariectomy, but this term is mostly used in reference to animals, e.g. the surgical removal of ovaries from laboratory animals.Removal of the ovaries of females is.

to type-C fractures (as classifi ed by Danis-Weber), with each subgroup of fracture having an increase in the stage of the lesions. No difference, however, was noted between type-A and type-B fractures (27). Interestingly, Stufkens et al in 2010 then performed a long-term follow-up study utilizing the same patient cohor Fracture: Both are not good to have but if pressed to answer most doctors would likely say weber b is worse due to fact that a lot of ligament damage may be present. Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free! Doctors typically provide answers within 24 hours

Trimalleolar Fracture: Recovery, Surgery, and Prognosi

Background— Heart failure (HF) is associated with factors that may contribute to accelerated bone loss and subsequent fractures. Whether it leads to an increased fracture risk is unknown. Methods and Results— A population-based cohort of consecutive patients ≥65 years of age with cardiovascular disease presenting to all emergency rooms between 1998 and 2001 in Alberta, Canada (n=16294. RESULTS: During the inclusion period, 373 fractures (372 patients; 9% Weber A, 58% Weber B, 33% Weber C) were operated upon. The mean age at operation was 42.9 years. There were 102 patients seen at follow-up (mean follow-up 17.9 years). Those not available did not differ in demographics and fracture type from those seen

A fracture of the lateral malleolus above the syndesmosis joint constitutes a Type C Weber fracture, while below the syndesmosis joint it constitutes a Type A Weber fracture. Bimalleolar Fracture. Abstract — Extremity injuries comprise the majority of battlefield injuries and contribute the most to long-term disability of servicemembers.The purpose of this study was to better define the contribution of muscle deficits and volumetric muscle loss (VML) to the designation of long-term disability in order to better understand their effect on outcomes for limb-salvage patients long-term. Cartilage tissues, soft-tissue and a robust ligament structure, which is important in ankle stability, can be best evaluated with magnetic resonance imaging (MRI), but the di-rect effects on functional results are not known. While some studies have reported that ankle fracture with dislocation i Pelvic trauma (PT) is one of the most complex management in trauma care and occurs in 3% of skeletal injuries [1-4].Patients with pelvic fractures are usually young and they have a high overall injury severity score (ISS) (25 to 48 ISS) [].Mortality rates remain high, particularly in patients with hemodynamic instability, due to the rapid exsanguination, the difficulty to achieve hemostasis. Fracture nonunions of long bones continue to represent a significant clinical challenge and socioeconomic burden, associated with high complication rates and the potential for poor long-term outcomes [1-5].Autologous bone grafting has received a negative reputation in the past, mainly due to the high risk of postoperative complications related to the harvesting procedure []

Background and Purpose— Inhospital medical complications account for a considerable portion of deaths during the early stage of stroke. However, relatively few studies have examined their long-term effects on mortality in stroke patients. Methods— We prospectively and consecutively collected data on 579 patients with acute ischemic stroke from November 1998 to February 2001 The Influence of Capsulotomy for Intracapsular Hip Fractures Journal of Long-Term Effects of Medical Implants, Vol.28, 2018, issue 3 Jacob J. Triplet, Benjamin C. Taylor, Brian Sullivan Effectiveness of Negative-Pressure Wound Therapy following Total Hip and Knee Replacements Journal of Long-Term Effects of Medical Implants, Vol.29, 2019, issue So researchers in Finland investigated whether a shorter treatment period of 3 weeks could safely match the results of 6 weeks when treating the most common type of ankle fracture (Weber B-type) In addition, the frequency of fractures in diabetes patients is higher than in patients without diabetes, and the relative risk of proximal femoral fractures is three‐ to sevenfold higher in patients with type 1 diabetes 2-5 and 1.3-2.8‐fold higher in patients with type 2 diabetes mellitus 2, 3, 6. Bone strength is defined by two factors.

Pilon Fractures of the Ankle - OrthoInfo - AAO

In the literature, randomized and nonrandomized studies show satisfactory outcomes for conservative treatment in minimally displaced or nondisplaced Weber B type fractures[41,61,62,64]. Dobbe et al reported that 13% of 108 conservatively treated infra-syndesmotic fractures had difficulties with work- and life-related activities Waissbluth S, Ywakim R, Al Qassabi B, et al. Pediatric temporal bone fractures: a case series. Int J Pediatr Otorhinolaryngol. 2016 May. 84:106-9. . Dunklebarger J, Branstetter B 4th, Lincoln A, Sippey M, Cohen M, Gaines B, et al. Pediatric temporal bone fractures: Current trends and comparison of classification schemes

Ankle and Foot Fractures - Physiopedi

Most patients, Weber noted, will obtain adequate fracture risk reduction from oral bisphosphonates. If you take them long enough, there is evidence of persistent benefit, Weber said The tibia is a larger bone on the inside, and the fibula is a smaller bone on the outside. The tibia is much thicker than the fibula. It is the main weight-bearing bone of the two. The fibula supports the tibia and helps stabilize the ankle and lower leg muscles. Tibia and fibula fractures are characterized as either low-energy or high-energy In this nursing care plan guide are 11 nursing diagnosis for fracture. Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. A fracture is the medical term used for a broken bone. They occur when the physical force exerted on the bone is stronger than the bone itself

Ankle Fractures. Information about broken ankle. Patient ..

A broken ankle is a fracture of one of the bones of the ankle, including the tibia, fibula, and talus.; Any crack, break, or chip in the anklebone is considered a fractured ankle, while a sprained ankle is an injury where there is tear or disruption of the ligaments (the fibrous tissue that holds bone to bone in a joint) Methods: Long-term follow-up of B-PROOF trial participants (N = 2,524), a multicenter, double-blind randomized placebo-controlled trial designed to assess the effect of 2 to 3 years daily supplementation with folic acid (400 μg) and vitamin B12 (500 μg) versus placebo on fracture incidence. Information on cancer incidence was obtained from the Netherlands cancer registry (Integraal. The Salter-Harris type II fracture is the most common type. Distal radial physeal fractures are uncommon in children younger than five years. The most common mechanism of injury is a fall on an outstretched hand (Figure 1). Extension of the wrist at the time of injury causes the distal fragment to be displaced dorsally (posteriorly)

The body's natural buoyancy in water relieves body weight, allowing for more functional movements sooner after the surgery (such as walking, squatting, lunging or step up's). The hydrostatic pressure of the water has positive effects on reducing swelling, which in turn improves blood flow and helps regain more range of motion and reduces pain The Danis-Weber classification (also known as the Weber classification) is another common method of describing ankle fractures. The three categories are based on the level of the fibula fracture. Weber A describes a fibula fracture distal to the syndesmosis, B is at the level of the syndesmosis, and C is proximal to the syndesmosis. Hangman fracture. Assoc Prof Craig Hacking and Assoc Prof Frank Gaillard et al. Hangman fracture, also known as traumatic spondylolisthesis of the axis, is a fracture which involves the pars interarticularis of C2 on both sides, and is a result of hyperextension and distraction. On this page: Article: Epidemiology. Clinical presentation

Broken Ankle: Types of Fractures, Diagnosis & Treatment

Salter Harris fractures (SH) are growth plate (physeal) fractures in immature animals. They are classified based on the prognosis for continued physeal growth (with type I less likely and type VI more likely to have long-term effects on mature bone length): SH I fracture: Involves a fracture through the physis itself (Figure 6 Ankle fractures were related to peripheral, but not central, BMD measures. Face fractures were the only fracture type not associated with any BMD measures. Overall, the relationship between BMD and fracture risk is similar over the short-term (<5 years) and long-term (≥5 years). Attributable ris

A carbon black transference technique was used to determine the contact area in twenty-three dissected tibiotalar articulations, with the talus in neutral position and displaced one, two, four, and six millimeters laterally. The greatest reduction in contact area occurred during the initial one millimeter of lateral displacement, the average reduction being 42 per cent Treatment of Distal Femur Fractures with a Combined Nail-Plate Construct: Techniques and Outcomes Journal of Long-Term Effects of Medical Implants, Vol.31, 2021, issue 3 Devon Myers, Brian W. Skura, Benjamin C. Taylor, Braden J. Passias, Brian D. Sullivan, Annand Gupta, Thomas C. Emme Long-term oral glucocorticoid therapy accounts for nearly one in six , Kopjar B. Survival after hip fracture: short- and long-term excess mortality according to age and gender. , Weber TJ.. A fibula fracture may require surgery, particularly if the bone pieces have moved far out of alignment or if the bone has broken into multiple pieces. Internal fixation refers to a surgical procedure used to realign and mechanically stabilize a severely broken bone. A broken ankle may be stabilized with a screw or a plate and screws