Effects of three- or four-cortex syndesmotic fixation in ankle fractures.

Abstract:

BACKGROUND:There is no study comparing how Weber type C ankle fractures treated with either three- or four-cortex syndesmotic fixation affects the structure of the syndesmosis. METHODS:In a retrospective study, 46 patients were separated into two groups: 22 patients with three-cortex fixation and 24 patients with four-cortex fixation. All of the patients were evaluated clinically and radiographically at least 1 year after removal of the syndesmosis screws. RESULTS:There were three types of joint space obliteration: type 1, synostosis on plain radiographs; type 2, an incomplete bony bridge on magnetic resonance imaging with normal plain radiographs; and type 3, fibrous obliteration of the joint space. Although obliteration of the joint space was significant (P < .005) after four-cortex fixation, radiologic results did not affect the clinical outcome. CONCLUSION:Four-cortex fixation for diastasis after an ankle fracture should not be a routine procedure. We advocate three-cortex fixation because the clinical results are no different and there is less syndesmotic space obliteration postoperatively.

journal_name

J Am Podiatr Med Assoc

authors

Karapinar H,Kalenderer O,Karapinar L,Altay T,Manisali M,Gunal I

doi

10.7547/0970457

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

457-9

issue

6

eissn

8750-7315

issn

1930-8264

pii

97/6/457

journal_volume

97

pub_type

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