Abstract
What is the Effective Technique for Syndesmotic Stabilization Tight Rope or Screw?
Highlights
syndesmotic ankle injuries (SAI) may occur in 10 up to 15% in patients presented with ankle fractures commonly associated with pronated, external rotated ankle injuries, [1] or Weber C fractures, and around 20% of ankle fractures require surgical stabilization [2]
Tightrope technique was highly recommended for SAI, as well for isolated syndesmosis separations
Underwent complete clinical examination and preoperative, 6th, 12th and 17th months follow up specific radiological investigations; functional evaluation using American Orthopedic Foot and Ankle Society (AOFAS), total 100 points divided into nine items grouped into three categories; [12]
Summary
SAI may occur in 10 up to 15% in patients presented with ankle fractures commonly associated with pronated, external rotated ankle injuries, [1] or Weber C fractures, and around 20% of ankle fractures require surgical stabilization [2]. Numerous studied confirmed that tightrope SAI fixation is a minimal invasive technique, which allows micro syndesmosis motion throughout reduction with least pain, and longer stability that permits early patients mobility, weight bearing and faster return to work. It was advised for osteoporosis (snowshoe, hold on cortical bone), while screw fixation may lead to cut out due to low screw breakage risk or need for its removal [8,9]. Complex syndesmotic ankle injuries (SAI) require restoration of normal biomechanics aiming to minimize expected complications
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