True antiglide fixation of Danis-Weber B fibula fractures has lower rates of removal of hardware

•Unstable, Weber B ankle fractures treated with posteriorly based plates demonstrate excellent rates of union with few complications.•Neutralization plating, with screws in the distal segment, is associated with 2.5 times greater hardware removal rates compared to antiglide plating.•Antiglide plating constructs are a safe and effective way of managing Weber B fractures with a low relative risk of hardware removal.