Rates and Types of Syndesmotic Fixation in Operatively Treated Ankle Fractures: A Retrospective Review

Foot & Ankle Orthopaedics

DrewStal¹ 

关键词: Syndesmosis;    Fixation;   

DOI  :  10.1177/2473011417S000378

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:TraumaIntroduction/Purpose:Roughly 15% of ankle sprains and 23% of ankle fractures involve disruption of the syndesmotic ligaments. It has been shown that patients who require syndesmotic stabilization have worse subjective outcomes than those who do not require fixation. Recent studies have demonstrated that both Weber B and Weber C distal fibula ankle fractures can have concomitant syndesmotic injury necessitating trans-syndesmotic fixation. Significant controversy exists regarding the proper syndesmotic fixation strategy in regards to size, number and type of screws, and number of engaged cortices. The goal of our study was to establish the current practice in syndesmotic fixation in surgically-treated ankle fractures at our institution, through a retrospective review, based on fracture pattern and surgeon subspecialty training.Methods:A multi-center retrospective cohort study of 219 surgically-treated ankle fractures over a 2 year period was performed. Institutional Review Board (IRB) approva...

【 授权许可】

CC BY