ArticleFrontiers in medicine2026
A novel classification system for avulsion fractures of the distal fibula based on arthroscopy-assisted measurement and significance to surgery and rehabilitation.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: There are difficulties in clinically diagnosing avulsion fractures of the distal fibula, although arthroscopic examination is an effective diagnostic method. To propose a novel classification scheme for avulsion fractures of the distal fibula, and further provide guidance for surgical and rehabilitation strategies. Methods: Data from 152 patients diagnosed with avulsion fractures of the distal fibula between February 1, 2019, and April 30, 2023, were included in this study. The characteristics of avulsion fractures of the distal fibula according to arthroscopic observations were identified, and concomitant intra-articular pathology was described and recorded. Results: Forty-five females and 107 males were enrolled. According to the size and relationship between the bone fragments and the ligaments, avulsion fractures were classified into the following types: A1 ( Conclusion: This study established a new classification system for avulsion fractures of the distal fibula. Based on this classification system, we have proposed a serial management for different types of avulsion fractures, which provides certain reference value for clinical treatment.
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