Outcomes of Fibular Nailing: Experience from a Single Center.

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.