Functional Outcomes and Complication Rates Between Antiglide Plate and Neutralization Plate in the Fixation of Weber B Lateral Malleolus Oblique Fractures: | ||
| The Egyptian Orthopaedic Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 30 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/eoj.2025.421019.1081 | ||
| Authors | ||
| Mahmoud Massoud* 1; Mohamed Kamal Ismail2 | ||
| 1Orthopaedic department, ARMED FORCES COLLEGE OF MEDICINE (AFCM), Cairo | ||
| 2Department orthopedic surgery AFCM Cairo Egypt | ||
| Abstract | ||
| Abstract Background: Weber B oblique fractures of the lateral malleolus are among the most commonly encountered ankle injuries in orthopedic practice. Optimal fixation strategy remains debated, with both antiglide and neutralization plating techniques widely used. Objectives: To compare the functional outcomes and complication rates associated with antiglide plate fixation versus lateral neutralization plate fixation in the surgical management of Weber B oblique lateral malleolus fractures. Methods: This prospective comparative study included patients diagnosed with isolated Weber B oblique lateral malleolar fractures. Patients were randomized into two groups: Group A received antiglide plating via a posterolateral approach, while Group B underwent fixation using lateral neutralization plating. Functional outcomes were assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) score at final follow-up. Complication rates, including wound issues, hardware irritation, peroneal tendon complaints, and the need for implant removal or reoperation, were recorded and analyzed. Results: Patients treated with antiglide plates demonstrated significantly fewer instances of hardware discomfort and lower reoperation rates compared to the neutralization group. Although there was a slightly increased risk of peroneal tendon irritation with antiglide fixation, this did not significantly impact overall function. The mean AOFAS scores were comparable between groups, indicating similar functional outcomes. Conclusion: Antiglide plating is a reliable and effective method for the fixation of Weber B oblique lateral malleolus fractures. It offers functional outcomes equivalent to lateral neutralization plating while reducing the incidence of hardware-related complications and the need for reoperation. These findings support its preferential use in suitable fracture patterns. | ||
| Keywords | ||
| functional outcomes; surgical fixation; orthopedic implants; postoperative complications; bone healing | ||
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