title: Comparison of screw fixation with elastic fixation methods in the treatment of syndesmosis injuries in ankle fractures.
abstract: 17 patients with ankle syndesmosic injury were treated with a 4.5mm 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.
authors.affiliation: Acibadem University, Acibadem Kadikoy Hospital, Department of Orthopedics and Traumatology, Tekin Sokak No: 8, Kadıköy, 34718 Istanbul, Turkey. Electronic address: mseyhan63@gmail.com.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Seyhan
authors.affiliation: Acibadem Kadikoy Hospital, Department of Orthopedics and Traumatology, Tekin Sokak No: 8, Kadıköy, 34718 Istanbul, Turkey. Electronic address: ferdi_donmez@hotmail.com.
authors.forename: Ferdi
authors.initials: F
authors.lastname: Donmez
authors.affiliation: Istanbul Medipol University, Medipol Mega Hospital, Department of Orthopedics and Traumatology, Bagcilar, 34214 İstanbul, Turkey. Electronic address: mahirogullari@yahoo.com.
authors.forename: Mahir
authors.initials: M
authors.lastname: Mahirogullari
authors.affiliation: GATA Haydarpasa Training Hospital, Department of Orthopedics and Traumatology, Turkey. Electronic address: selamicakmak@gmail.com.
authors.forename: Selami
authors.initials: S
authors.lastname: Cakmak
authors.affiliation: Medipol Mega Hospital, Department of Orthopedics and Traumatology, Bagcilar, 34214 İstanbul, Turkey. Electronic address: serhatmutlu@hotmail.com.
authors.forename: Serhat
authors.initials: S
authors.lastname: Mutlu
authors.affiliation: Istanbul Medipol University, Medipol Mega Hospital, Department of Orthopedics and Traumatology, Bagcilar, 34214 İstanbul, Turkey. Electronic address: olcayguler@hotmail.com.
authors.forename: Olcay
authors.initials: O
authors.lastname: Guler
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001863:Bone Screws; D020878:Device Removal; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology
keywords: Ankle; Screw; Suture-button; Syndesmosis; Syndesmosis repair; Tightrope