Participants
fracture, fractures, ankle injuries
HANSEN
From March 2018 to October 2019, patients aged ≥ 16 years old visiting the emergency department with an isolated Weber B fracture (Lauge Hansen supination-eversion stage 2-4A) were screened for eligibility. Patients were eligible for inclusion if non-weightbearing radiographs showed congruent ankle joint on mortise view (medial clear space < 6 mm and ≤ 1 mm wider than the superior clear space). Weightbearing radiographs (weightbearing and non-weightbearing) were acquired after one week. If the ankle was deemed stable after one week, informed consent was signed and patients were randomized. Patients showing a widened medial clear space (> 6 mm) on radiographs were excluded and underwent open reduction and internal fixation. Exclusion criteria were ankle injuries other than isolated Weber B fractures, bilateral fractures, delay in presentation of more than 14 days after injury, and contralateral amputation of upper leg, lower leg or foot.