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Title

Comparative study on surgical treatment of weber type B fracture: Posterior versus lateral fixation with locking one-third tubular plate

 

Authors

Karthik Divakara*, Akash Vishnuvardhan Rathod & Vinayak Bende

 

Affiliation

Department of Orthopaedics, Manipal Hospital, Ambalipura, Bellandur, Bengaluru-560102, India; *Corresponding author

 

Email

Karthik Divakara - E-mail: karthikdsetty1994@gmail.com; Phone: +91-9663051408
Akash Vishnuvardhan Rathod - E-mail: akashvr3010@gmail.com; Phone: +91-8861051710

Vinayak Bende - E-mail: vinayakbende123@gmail.com; Phone: +91-9900911451

 

Article Type

Research Article

 

Date

Received October 1, 2025; Revised October 31, 2025; Accepted October 31, 2025, Published October 31, 2025

 

Abstract

Weber type B ankle fractures present a common surgical challenge, with the optimal fixation approach remaining debated. This retrospective study compared clinical and radiological outcomes of posterior versus lateral fixation using locking one-third tubular plates in 118 patients. Posterior fixation demonstrated superior biomechanical stability and fewer hardware-related complaints, whereas lateral fixation offered shorter operative duration. At six months, patients in the posterior fixation group achieved better functional recovery and experienced fewer soft tissue complications. These findings support posterior plating as an effective alternative to the conventional lateral approach in suitable cases.

 

Keywords

Weber Type B Fracture, posterior fixation, lateral fixation, locking plate, ankle fracture, tubular plate, orthopedic surgery

 

Citation

Divakara et al. Bioinformation 21(10): 3606-3611 (2025)

 

Edited by

A Prashanth

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.