European Journal of Cardiovascular Medicine

Background and objectives: The ankle is the most distal weight-bearing joint and the stability of the ankle mortise is crucial to the capacity to move. Distal fibula fracture management is uncertain because of the wide diversity of implants and fracture types. The purpose of this research was to compare the efficacy of closed reduction internal fixation with open reduction internal fixation in treating fractures of the lower fibula (at the syndesmotic level, Weber type B) in conjunction with breaks of the lower tibia or medial malleolus. This randomized controlled trial assessed different functional modalities and complications associated with fibula fixation. Methods: During January 2022 to January 2023, 75 patients with a lower fibula fracture (Weber type B) were enrolled in a randomized prospective and comparative study at Department of Orthopaedics, Ayaan Institute of Medical Sciences, Kanakamamidi, Moinabad, Telangana, India. The CRIF method was used on 45 individuals, whereas the ORIF method was used on 30 others. Results: Although the union rate was higher with plating, the functional score was higher and there were fewer difficulties with nailing. Conclusion: The nailing in the lower fibula fractures is preferable to the plating of comminuted ankle fractures. Crif and orif are equivalent for post-weight-bearing syndesmotic failure. The syndesmotic ankle becomes more rigid after receiving an Orif