# Outcomes of Fibular Nailing: Experience from a Single Center

## TL;DR

A study from a single center in Malaysia shows that fibular nailing is a safe and effective treatment for certain ankle fractures.

## Contribution

This is the first case series in Malaysia evaluating outcomes of Trauhui fibular nail for treating Weber B and C fibular fractures.

## Key findings

- Clinical and radiological union was achieved in 7 out of 8 patients with a mean union time of 10 weeks.
- One patient developed nonunion and another had a superficial surgical site infection.
- Functional outcomes at six months were favorable with a mean AOFAS score of 85 and VAS score of 1.

## Abstract

This case series reports on the outcomes of eight patients with Weber B and Weber C fibular fractures, with or without associated tibial fractures, treated using the Trauhui fibular nail (Trauhui Medical, Jiangsu, China), the only fibular intramedullary nail currently available in Malaysia. All procedures were performed by a single surgeon at a single center between April and October 2024. Clinical and radiological union was achieved in seven of the eight patients, with a mean union time of 10 weeks. One patient developed a nonunion. Additionally, one case of superficial surgical site infection was observed. At the six-month follow-up, functional outcomes were favorable, with a mean American Orthopaedic Foot & Ankle Society (AOFAS) score of 85 and a mean Visual Analog Scale (VAS) score of one. These findings suggest that the fibular nail is a generally safe and effective treatment option for Weber B and C fibular fractures.