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

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          Abstract

          17 patients with ankle syndesmosic injury were treated with a 4.5mm 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.

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          Author and article information

          Journal
          Injury
          Injury
          Elsevier BV
          1879-0267
          0020-1383
          Jul 2015
          : 46 Suppl 2
          Affiliations
          [1 ] Acibadem University, Acibadem Kadikoy Hospital, Department of Orthopedics and Traumatology, Tekin Sokak No: 8, Kadıköy, 34718 Istanbul, Turkey. Electronic address: mseyhan63@gmail.com.
          [2 ] Acibadem Kadikoy Hospital, Department of Orthopedics and Traumatology, Tekin Sokak No: 8, Kadıköy, 34718 Istanbul, Turkey. Electronic address: ferdi_donmez@hotmail.com.
          [3 ] Istanbul Medipol University, Medipol Mega Hospital, Department of Orthopedics and Traumatology, Bagcilar, 34214 İstanbul, Turkey. Electronic address: mahirogullari@yahoo.com.
          [4 ] GATA Haydarpasa Training Hospital, Department of Orthopedics and Traumatology, Turkey. Electronic address: selamicakmak@gmail.com.
          [5 ] Medipol Mega Hospital, Department of Orthopedics and Traumatology, Bagcilar, 34214 İstanbul, Turkey. Electronic address: serhatmutlu@hotmail.com.
          [6 ] Istanbul Medipol University, Medipol Mega Hospital, Department of Orthopedics and Traumatology, Bagcilar, 34214 İstanbul, Turkey. Electronic address: olcayguler@hotmail.com.
          Article
          S0020-1383(15)00286-7
          10.1016/j.injury.2015.05.027
          26117414
          7f9b5701-4d2b-48ad-98da-acc2aacf1f0e
          History

          Suture-button,Syndesmosis,Syndesmosis repair,Tightrope,Ankle,Screw

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