This retrospective study over a 3 year follow-up was designed to establish the significance of the Weber classification of @entity1171 with regards to functional and radiographic outcome. One hundred and seven @entity1 were available for follow-up, of which 88 ankles could be classified with the Weber system. @entity174 could not be classified with this system. A correlation was found between the type of Weber @entity174 and the overall ankle score. This held true for @entity174 alone. More complex bimalleolar and @entity1171 did not follow this convention. Logistical regression analysis was used to evaluate other predictors of outcome. Bimalleolar and @entity1171 were statistically significant predictors of a poorer outcome (P = 0.033, P = 0.021). The @entity1613 was also determined to be a predictor of outcome (P = 0.0133) as was the operative reduction (P = 0.0113). Using linear regression, older age (> 62 years) was also established as a predictor of a poorer outcome (P < 0.05). The Weber classification was found to be a predictor of outcome in @entity1171 and not for @entity174 . We have identified further predictors of a poorer outcome in @entity1171 as the degree of @entity130 , the number of @entity174 and older age. These factors were found to have greater significance in predicting outcome than the level of fibular @entity174 alone. We have identified a deficiency of the Weber system in excluding these criteria and have addressed this by modifying the existing system to include the number of malleoli involved, thus providing a more useful prognostic tool.

An evaluation of the Weber classification of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['unimalleolar fractures', 'multimalleolar fractures', 'Medial malleolar fractures alone and pilon fractures', 'fracture', 'malleoli fractured'] @entity1171 :: ('MESH:D064386', 'Disease') :: ['ankle fractures', 'unimalleloar ankle fractures', 'trimalleolar fractures'] @entity1613 :: ('MESH:D011230', 'Disease') :: ['initial degree of displacement'] @entity130 :: ('MESH:D014947', 'Disease') :: ['initial injury']
@entity1171 :: (MESH:D064386,Disease) :: ['ankle fractures']
