EVALUATION OF TREATMENT OUTCOMES FOR WEBER B AND C FRACTURES USING MINIMALLY INVASIVE OSTEOSYNTHESIS UNDER FLUOROSCOPY
Main Article Content
Abstract
Background: Closed Weber B and C fractures are primarily treated surgically. Open reduction and internal fixation is currently considered the gold standard but is associated with a high rate of wound complications, particularly in high-risk patients. Minimally invasive osteosynthesis helps preserve bone vascularity, limit soft tissue damage, and reduce wound complications. In Vietnam, no comprehensive study on this method has been conducted. Objectives: 1. To describe the clinical characteristics and conventional X-ray findings in patients with Weber B, C fractures treated by minimally invasive osteosynthesis under fluoroscopy; 2. To evaluate the treatment outcomes of Weber B, C fractures treated by minimally invasive osteosynthesis under fluoroscopy. Materials and methods: A prospective descriptive study was conducted on 35 patients diagnosed with closed Weber B and C fractures who underwent minimally invasive osteosynthesis at Can Tho University of Medicine and Pharmacy Hospital, Can Tho Central General Hospital, and Can Tho City General Hospital from April 2024 to December 2025. Results: The mean age of the study group was 50.2 ± 16.5 years (18-74). Fracture reduction according to the Burwell-Charnley system was excellent in 97% and good in 3%. The rate of syndesmotic diastasis was higher in the Weber C group compared to the Weber B group (p = 0.04). The mean long-term AOFAS score was 93.2 ± 6.1. Conclusions: Minimally invasive osteosynthesis under fluoroscopy effectively achieves anatomical reduction and functional recovery of the ankle while minimizing wound complications in the treatment of Weber B and C fractures.
Keywords
Weber B and C fractures, MIO, AOFAS score, minimally invasive surgery
Article Details
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