Published Paper Details:

Ankle injuries are common and account for more than five milion emergency department consultations annually. The most common causes of ankle fractures are twisting injuries and falls, followed by sports injuries. Diabetes mellitus and obesity are associated with ankle fractures in middle aged and older adults. The aim of this work to evaluate the outcome in conservative treatment of AO-Weber B fibular fractures. This work involved the (prospective) study of a randomized cases of weber B fibular fracture. A total of 15 cases included, underwent a conservative treatment by immobilization by plaster cast for 6 weeks for follow up period 6 months. Result: The ages of patients ranged from 27 � 60, with mean age 44.3 years. There were 8 females and 7 males, percentage with females was (73.3%) and 7 males with (26.7%), the affected side nearly equal according to the side (53.3%) Right, left (46.7%), 3 patients was diabetics with (33.3%). At the end of the follow up period, patients were assessed by a clinical scoring system. Results showed that the mean was 81.0 � 7.78, that is statistically significant with p value (0.041*). satisfactory score show 8 of the patients are excellent (66.7%), 5 patients were good (33.3%), and the other 2 patients were unsatisfactory 1 faire (6.7%) and one poor (6.7%)., patients were assessed according to the pain in the affected ankle , most of the patients were pain free (66.7%) ,none in 10 cases (66.6), mild in 3 cases (20%), moderate were 2 cases (13.3%), (66.6.%) of the patent had a normal range of motion and the mean time of healing was 7.4 weeks with early return to work and function. Conclusion: 1. Conservative treatment of weber b fibular fractures has a significant outcome compared with the other types of management. 2. The younger patients have more satisfactory results than the older one 3. No significant effect of sex, side affected and occupation on the management outcome. 4-.Diabetic patients and elderly patients are more at risk of particular complications including infection and failure of soft tissue and bone healing