Intramedullary Fibular Nail Fixation in an Elderly Patient with a Comminuted Weber C Ankle Fracture: A Case Report
Introduction: Ankle fractures are among the most common lower extremity injuries, accounting for approximately 9% of all fractures. Various methods exist for the internal fixation of fibular fractures, with open reduction and internal fixation using plates and screws currently regarded as the gold s...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-06-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/06/01/intramedullary-fibular-nail-fixation-in-an-elderly-patient-with-a-comminuted-weber-c-ankle-fracture-a-case-report/ |
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| author | Ajith Kumar Kannan Anisha Tyagi Johnny Dong Elias Logothetis Jay Bhuta Rahul Mittal |
| author_facet | Ajith Kumar Kannan Anisha Tyagi Johnny Dong Elias Logothetis Jay Bhuta Rahul Mittal |
| author_sort | Ajith Kumar Kannan |
| collection | DOAJ |
| description | Introduction:
Ankle fractures are among the most common lower extremity injuries, accounting for approximately 9% of all fractures. Various methods exist for the internal fixation of fibular fractures, with open reduction and internal fixation using plates and screws currently regarded as the gold standard. However, plate and screw fixation is highly invasive and may lead to significant post-operative complications. Intramedullary (IM) nails, offering a less invasive alternative, have conventionally been indicated for non-comminuted Weber B and C fractures. To our knowledge, this is one of the few reports in the literature demonstrating the successful application of IM nails in a comminuted Weber C fracture.
Case Report:
We describe an 80-year-old female of Caucasian descent who presented with a comminuted Weber C ankle fracture following a fall. The patient was treated with fibular nail fixation, a minimally invasive technique that achieved successful alignment and stabilization. The patient had an uneventful recovery with no post-operative complications, highlighting the potential of this method in managing complex fractures in elderly patients with comorbidities.
Conclusion:
This case underscores the versatility and efficacy of IM nails in treating complex fibular fractures, including comminuted Weber C fractures. It highlights the clinical relevance of this technique as a less invasive and complication-reducing alternative to traditional plating systems, particularly for elderly patients with high surgical risks. The findings suggest that IM fixation has the potential to significantly advance fracture management strategies and reduce associated morbidity. |
| format | Article |
| id | doaj-art-490ff439fbc940d2a8b4fa26820582a7 |
| institution | OA Journals |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-490ff439fbc940d2a8b4fa26820582a72025-08-20T02:36:30ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-06-01156687310.13107/jocr.2025.v15.i06.5668Intramedullary Fibular Nail Fixation in an Elderly Patient with a Comminuted Weber C Ankle Fracture: A Case ReportAjith Kumar KannanAnisha TyagiJohnny DongElias LogothetisJay BhutaRahul MittalIntroduction: Ankle fractures are among the most common lower extremity injuries, accounting for approximately 9% of all fractures. Various methods exist for the internal fixation of fibular fractures, with open reduction and internal fixation using plates and screws currently regarded as the gold standard. However, plate and screw fixation is highly invasive and may lead to significant post-operative complications. Intramedullary (IM) nails, offering a less invasive alternative, have conventionally been indicated for non-comminuted Weber B and C fractures. To our knowledge, this is one of the few reports in the literature demonstrating the successful application of IM nails in a comminuted Weber C fracture. Case Report: We describe an 80-year-old female of Caucasian descent who presented with a comminuted Weber C ankle fracture following a fall. The patient was treated with fibular nail fixation, a minimally invasive technique that achieved successful alignment and stabilization. The patient had an uneventful recovery with no post-operative complications, highlighting the potential of this method in managing complex fractures in elderly patients with comorbidities. Conclusion: This case underscores the versatility and efficacy of IM nails in treating complex fibular fractures, including comminuted Weber C fractures. It highlights the clinical relevance of this technique as a less invasive and complication-reducing alternative to traditional plating systems, particularly for elderly patients with high surgical risks. The findings suggest that IM fixation has the potential to significantly advance fracture management strategies and reduce associated morbidity.https://jocr.co.in/wp/2025/06/01/intramedullary-fibular-nail-fixation-in-an-elderly-patient-with-a-comminuted-weber-c-ankle-fracture-a-case-report/ankle fractureintramedullary nailsweber c fracturefibular fixationfibulockminimally invasive surgery |
| spellingShingle | Ajith Kumar Kannan Anisha Tyagi Johnny Dong Elias Logothetis Jay Bhuta Rahul Mittal Intramedullary Fibular Nail Fixation in an Elderly Patient with a Comminuted Weber C Ankle Fracture: A Case Report Journal of Orthopaedic Case Reports ankle fracture intramedullary nails weber c fracture fibular fixation fibulock minimally invasive surgery |
| title | Intramedullary Fibular Nail Fixation in an Elderly Patient with a Comminuted Weber C Ankle Fracture: A Case Report |
| title_full | Intramedullary Fibular Nail Fixation in an Elderly Patient with a Comminuted Weber C Ankle Fracture: A Case Report |
| title_fullStr | Intramedullary Fibular Nail Fixation in an Elderly Patient with a Comminuted Weber C Ankle Fracture: A Case Report |
| title_full_unstemmed | Intramedullary Fibular Nail Fixation in an Elderly Patient with a Comminuted Weber C Ankle Fracture: A Case Report |
| title_short | Intramedullary Fibular Nail Fixation in an Elderly Patient with a Comminuted Weber C Ankle Fracture: A Case Report |
| title_sort | intramedullary fibular nail fixation in an elderly patient with a comminuted weber c ankle fracture a case report |
| topic | ankle fracture intramedullary nails weber c fracture fibular fixation fibulock minimally invasive surgery |
| url | https://jocr.co.in/wp/2025/06/01/intramedullary-fibular-nail-fixation-in-an-elderly-patient-with-a-comminuted-weber-c-ankle-fracture-a-case-report/ |
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