Comparison of screw fixation with elastic fixation methods in the treatment of syndesmosis injuries in ankle fractures. (July 2015)

• Record Type: Journal Article
• Authors: Seyhan, Mustafa; Donmez, Ferdi; Mahirogullari, Mahir; Cakmak, Selami; Mutlu, Serhat; Guler, Olcay
• Is Part Of: Injury. Volume 46(2016)Supplement 2
• Page Start: S19
• Page End: S23
• Publication Date: 2015-07
• Subjects: Ankle -- Syndesmosis -- Syndesmosis repair -- Screw -- Suture-button -- Tightrope; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2015.05.027
• Languages: English
• ISSNs: 0020-1383

Abstract

Abstract: 17 patients with ankle syndesmosic injury were treated with a 4.5 mm single cortical screw fixation (passage of screw 4 cortices) and 15 patients were treated with single-level elastic fixation material. All patients were evaluated according to the AOFAS ankle and posterior foot scale at the third, sixth and twelfth months after the fixation. The ankle range of movement was recorded together with the healthy side. The Student's t test was used for statistical comparisons. No statistical significant difference was observed between the AOFAS scores ( p > 0.05). The range of dorsiflexion and plantar flexion motion of the elastic fixation group at the 6th and 12th months were significantly better compared to the screw fixation group ( p < 0.01). Elastic fixation is as functional as screw fixation in the treatment of ankle syndesmosis injuries. The unnecessary need of a second surgical intervention for removal of the fixation material is another advantageous aspect of this method of fixation.