Research of different influences on ankle function after different kinds of distal syndesmosis fixation
MU Feng-yun
Hu Zhang-yong
LIU Ling
Abstract：Objective To assess the influence of tricortical or quadricortical syndesmotic screw fixation on ankle function for treating separation of tibiofibular syndesmosis. Methods A retrospective study was conducted in which 32 patients with ankle fracture combined with distal syndesmosis injury in our hospital during Jun. 2012 and Sep. 2015 was enrolled. All the patients were divided into three teams randomly,the first team was treated with one tricortical screw ( n=12 ) , the second was treated with one quadricortical screw ( n=12 ) , and the third team was treated with two tricortical screws ( n=8 ) . Fracture types, hospitalization stay, hospitalization cost, and functional score of ankle were recorded. Results All patients were operated successfully,and the average follow-up time was 1 year. Patients in different teams had no significant difference in ankle Olerud-Molander score,ROM of the ankle and average hospitalization stay ( P>0. 05 ) , but the cost in the first ( 10. 7 ± 2 ) thousand yuan ) and the second team (10. 9 ± 3) thousand yuan) was significantly less than that of the third team (14 ± 2) thousand yuan,P<0. 05). Conclusion Distal syndesmosis fixation methods have no significant effect in ankle function,but the one screw fixation has significantly less cost,and it is applicable in basic medical unit.
Keywords：ankle fracturedistal tibiofibular syndesmosis injuryscrewfixation
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 777-780 )