Comparison of screw fixation with elastic fixation methods in the treatment of syndesmosis injuries in ankle fractures

SEYHAN M., Donmez F., Mahirogullari M., Cakmak S., Mutlu S., Guler O.

Injury, vol.46, no.S2, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 46 Issue: S2
  • Publication Date: 2015
  • Doi Number: 10.1016/j.injury.2015.05.027
  • Journal Name: Injury
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: Ankle, Syndesmosis, Syndesmosis repair, Screw, Suture-button, Tightrope
  • Istanbul Medipol University Affiliated: Yes


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.