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All patients were followed up for 12 months at least, with an average follow-up time of 12.7 months.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>There was no significant difference in the functional outcome score between both groups. The intramedullary screw group had a significantly shorter operative time and time to full union (<jats:italic>P<\/jats:italic>&lt;0.001 and =0.006 respectively). There was a relatively higher accuracy of reduction with the plate fixation group, but it was statistically insignificant. There was a relatively fewer complication rate with the use of intramedullary screw fixation compared to plate fixation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The use of intramedullary fixation is a good alternative for plate fixation in low fibular fractures (Weber A and B). Although plate fixation provides an optimal anatomic reconstruction of the fractures, intramedullary fixation may have a lower risk of complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00264-022-05425-x","type":"journal-article","created":{"date-parts":[[2022,5,16]],"date-time":"2022-05-16T11:23:33Z","timestamp":1652700213000},"page":"2127-2134","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Lateral malleolar fractures Weber Type A and B: does percutaneous intramedullary screw confer a solid alternative to the traditional neutralization plate?"],"prefix":"10.1007","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9604-5438","authenticated-orcid":false,"given":"Sherif Hamdy","family":"Zawam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Goda","family":"Mabrouk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5558-4566","authenticated-orcid":false,"given":"Mahmoud Ahmed","family":"El-Desouky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,16]]},"reference":[{"issue":"1","key":"5425_CR1","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1186\/s12891-018-2326-x","volume":"19","author":"H Juto","year":"2018","unstructured":"Juto H, Nilsson H, Morberg P (2018) Epidemiology of adult ankle fractures: 1756 cases identified in Norrbotten County during 2009-2013 and classified according to AO\/OTA. 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