As the chairman of the Department of Orthopedic Surgery at the University of Toledo Medical Center, Dr. Nabil Ebraheim offers a wide range of care, from bone healing to treatment of ankle fractures. He maintains a regularly updated YouTube channel that has more than 100,000 subscribers and posts educational videos on topics within his field of knowledge. A recent video by Dr. Nabil Ebraheim examines isolated fibular fractures, which occur in the lower leg.
The fibula carries approximately 15 percent of the body’s axial load and serves as a point of attachment for several muscles in the calf. Fibular fractures are usually part of a complex injury involving fracture of the ankle or adjacent tibia, but can occur on their own as well. This rare type of injury typically happens as a result of direct trauma to the leg and should not require surgery.
Sometimes the Maisonneuve fracture involving fibula and ankle can be hidden and difficult to diagnose, and consultation with an experienced physician is a must. Indicators of the Maisonneuve fracture include an unexplained widening of the medial clear space and of the tibiofibular clear space, which is normally less than 5 millimeters in width. Surgery involving screws is required in these cases as a way of addressing syndesmosis.