Pre- and post-course performance are demonstrated. The following ankle fracture types were tested: Weber A lateral malleolar, Weber B lateral malleolar, Weber C lateral malleolar, bimalleolar, lateral malleolar with increased medial clear space (bimalleolar-equivalent), ligamentous Maissonneuve (only injury identification was tested), bimalleolar fracture-dislocation, and open trimalleolar fracture-dislocation.
Greater than two-thirds of the cohort was able to correctly identify all injuries in the post-course assessment except for bimalleolar fractures which were identified correctly by 48% pre-course and 54% post-course (Figure E5A). Participants improved in their ability to identify the correct ideal treatment of all injuries except Weber B lateral malleolar fractures, for which 79% of participants identified it correctly pre-course compared to 66% post-course. In the post-course assessment, greater than two-thirds of the cohort was able to correctly identify the ideal treatment of all injuries except bimalleolar, bimalleolar-equivalent, and open trimalleolar fracture-dislocations (Figure E5B).