ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Lag screw versus no lag screw in surgery for Weber B ankle fractures: impact on recovery and surgical outcomes.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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5 authors.
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Abstract
purposeA lag screw is not always used in treating unstable Weber B ankle fractures, and evidence supporting its necessity remains limited. Therefore, recovery and surgical outcomes will be compared between surgery with and without a lag screw in patients with a Weber B ankle fracture.
methodsA retrospective cohort study was conducted, including patients with a Weber B fracture who underwent surgery at Máxima Medical Center between 2012 and 2022. Surgery duration, complications, recovery, and reoperation rate and reasons were compared between patients treated with and without a lag screw. A questionnaire, including the Foot and Ankle Outcome Score, was sent to the same cohort to assess current ankle functionality and treatment satisfaction.
resultsA total of 302 patients were included, of which 194 with a lag screw. The overall complication rate did not differ (p=0.87), while the distribution of complications did (p=0.01). More wound complications were observed in the no lag screw group (14.8% vs 9.3%), whereas less nerve injuries (0.0% vs 4.6%) and implant complaints (0.9% vs 3.1%) were observed. Surgery duration, recovery, reoperation rate and reasons did not differ between the groups. The questionnaire was completed by 141 patients, of which 92 with a lag screw. Foot and Ankle Outcome subscale scores and treatment satisfaction did not differ between the groups.
conclusionThis study demonstrates that the use of a lag screw is not essential in treating Weber B ankle fractures, as no differences in recovery and surgical outcomes were found between the two groups.
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