![]() The main movements of the joint are plantarflexion and dorsiflexion. A complex series of ligaments support the joint. The distal ends of the fibula and tibia form a socket known as the mortise in which the talus sits. It is formed by the fibula, tibia and talus. MIPO Weber B ankle fracture minimally invasive.Ĭopyright © 2016 American College of Foot and Ankle Surgeons. The ankle joint (talocrural joint) is a synovial hinge type joint. At risk with lateral approach to distal fibula, posterolateral, and anterior/anterolateral approaches. ![]() The results of the present study have demonstrated that percutaneous plating is an effective surgical option for treating Weber B distal fibular fractures. Weber C fracture patterns (>80) fixation usually not required when fibula fracture within 4.5 cm of plafond. Hardware removal was required in 3 patients during the study period, which had an average of almost 4 years postoperatively. The time required to return to activity was 4.3 ± 2.0 months. The postoperative Roles and Maudsley scores had improved significantly. Isolated lateral malleolar fractures (Weber A/B) without talar shift and with negative stress test Isolated nondisplaced medial malleolar. All fibular fractures had healed clinically and radiographically by 8 weeks after surgery. The 2023 edition of ICD-10-CM S82.832A became effective on October 1, 2022. It takes into consideration the position of the distal fibular fracture in relation to the syndesmosis of the ankle joint. Short description: Oth fracture of upper and lower end of left fibula, init. The Danis-Weber classification 1 (Weber classification) is a simple method for classifying fractures of lateral ankle fractures and is based on radiographic criteria. If there is medial clear space widening at the time of. S82.832A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The ankle is dorsiflexed and the foot is externally rotated to obtain a stress view. From: Operative Techniques: Foot and Ankle Surgery (Second Edition), 2018. The Roles and Maudsley score was used to assess the patients' activity level. For a distal fibula fracture an oblique osteotomy through the fracture site. A 4- to 6-hole semitubular plate with 3 screws was used for percutaneously plating. Well-corticated ossicle distal to the medial malleolus may be post-traumatic or congenital (i.e. Fracture line through the ankle joint in keeping with a Weber B, with slight lateral talar shift (widening of medial clear space). The data from 17 patients undergoing percutaneous plating of a distal fibular (Weber B) fracture were prospectively studied. Spiral fracture through the distal fibula. If you are worried that you are unable to follow this rehabilitation plan, or have any questions, then please phone the Fracture Care Team for advice.The purpose of the present study was to describe a minimally invasive percutaneous technique for plating Weber B distal fibular fractures and to evaluate its efficacy by measuring patient outcomes and hardware removal rates. The boot you have been given is for your comfort only and is not needed to aid fracture healing, but should be worn at all times when walking. The swelling is often worse at the end of the day and elevating it will help. You may walk on the foot as comfort allows although you will find it easier to walk with crutches in the early stages. This normally takes approximately 6 weeks to unite (heal) although pain and swelling can be ongoing for 3 to 6 months. Please see the picture below to understand where this injury is. If your injury is classified as a stable Weber B type fracture, you will be treated in a boot. If the Orthopaedic Consultant considers this unstable, an operation with plate and screws may be required. You have sustained a fracture to your fibula (outside ankle bone). S82.62XA is a billable ICD-10 code used to specify a medical diagnosis of displaced fracture of lateral malleolus of left fibula, initial encounter for closed fracture.
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