Biomechanical effects of internal fixation of the distal tibiofibular syndesmotic joint: comparison of two fixation techniques.

Abstract:

:This biomechanical study compares two methods of internal fixation of the tibiofibular syndesmosis used in Weber type C malleolar fractures of the ankle. The transverse syndesmotic 3.5-mm screw was compared with two 1.5-mm Kirschner wires introduced obliquely across the distal tibiofibular syndesmosis. The influence of implants on distal tibiofibular joint motion and contact characteristics of the intact ankle joint were determined. Up to 1.25 mm of lateral displacement and 2 degrees of external rotation of the lateral malleolus during uninjured ankle dorsiflexion was recorded. Both techniques stabilized the injured syndesmotic joint and limited its normal motion during flexion and extension of the ankle. Pressure distribution displaced laterally in internally stabilized ankles compared with intact specimens, regardless of the type of fixation used. Therefore, both techniques alter joint biomechanics equivalently compared with the intact ankle.

journal_name

J Orthop Trauma

authors

Peter RE,Harrington RM,Henley MB,Tencer AF

doi

10.1097/00005131-199406000-00006

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

215-9

issue

3

eissn

0890-5339

issn

1531-2291

journal_volume

8

pub_type

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