Ankle Fractures Danis-Weber Classification • Type A: – Fibula avulsed distal to joint line – Syndesmosis intact • Type B: – Spiral fracture of fibula starting at joint line and extending proximalposteriorly • Type C: – Fibular fracture proximal to syndesmosis (with syndesmosis disrupted)
Ankle Fractures Classification Drawbacks • Both Danis-Weber and Lauge-Hansen Classification systems failed to encompass all possible types of fractures • Fracture configuration is not predictive of prognosis • Initial talar displacement and number of malleoli injured seem to be important prognosticators • ﻫﻨﺎﻙ ﺣﺎﻻﺕ ﻣﻤﻜﻨﺔ ﻟﻜﺴﻮﺭ ﺍﻟﻜﺎﺣﻞ ﻏﻴﺮ ﻣﻐﻄﺎﺓ ﺑﺎﻱ ﻣﻦ ﺍﻟﺘﺼﻨﻴﻔﻴﻦ ﺍﻟﺴﺎﺑﻘﻴﻦ • ﺷﻜﻞ ﺍﻟﻜﺴﺮ ﻻ ﻳﺘﻨﺒﺄ ﺑﺎﻻﻧﺬﺍﺭ ﺑﺸﻜﻞ ﺟﻴﺪ • ﻳﺒﺪﻭ ﺍﻥ ﻫﻨﺎﻙ ﻗﻴﻤﺔ ﺍﻧﺬﺍﺭﻳﺔ ﻫﺎﻣﺔ ﻟﺘﺒﺪﻝ ﺍﻟﻜﻌﺒﺔ ) ﺍﻟﻘﻌﺐ( ﻭ ﻟﻌﺪﺩ ﺍﻟﻜﻌﻮﺏ ﺍﻟﻤﺼﺎﺑﺔ