A Comparison of Screw Fixation and Suture-Button Fixation in a Syndesmosis Injury at an Ankle Fracture

Abstract The present study compared the quality of reduction and the clinical assessment between screw fixation and suture-button fixation with an ankle fracture accompanied by syndesmosis injury. We studied the clinical and radiologic findings 1 year postoperatively through retrospective examinatio...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2016-09, Vol.55 (5), p.985-990
Main Authors: Kim, Jung-Han, MD, PhD, Gwak, Heui-Chul, MD, PhD, Lee, Chang-Rack, MD, Choo, Hye-Jeung, MD, Kim, Jeon-Gyo, MD, Kim, Dae-Yoo, MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
ankle fracture
Ankle Fractures - diagnostic imaging
Ankle Fractures - surgery
Ankle Injuries - diagnostic imaging
Ankle Injuries - surgery
Bone Screws
Cohort Studies
Female
Follow-Up Studies
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Fracture Healing - physiology
Humans
Injury Severity Score
Male
Middle Aged
Orthopedics
Pain Measurement
Radiography - methods
Range of Motion, Articular - physiology
Retrospective Studies
screw fixation
Statistics, Nonparametric
Suture Anchors
syndesmosis injury
Tightrope
Time Factors
Treatment Outcome
Young Adult
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Summary:Abstract The present study compared the quality of reduction and the clinical assessment between screw fixation and suture-button fixation with an ankle fracture accompanied by syndesmosis injury. We studied the clinical and radiologic findings 1 year postoperatively through retrospective examination of 24 patients who had undergone screw fixation from January 2011 to December 2012 and prospective examination of 20 patients who had undergone suture button fixation from January 2013 to May 2014. Regarding the tibiofibular clear space, tibiofibular overlap, and medial clear space, the screw fixation group had improvement from a preoperative mean of 6.97 (range 2.79 to 15.81) mm, 4.43 (range 0 to 7.87) mm, 7.90 (range 4.24 to 19.50) mm to a postoperative mean of 4.95 (range 2.72 to 9.08) mm, 6.29 (range 0 to 10.37) mm, and 4.32 (range 1.98 to 6.57) mm, respectively. The corresponding improvement for the suture-button fixation group was from a preoperative mean of 6.65 (range 3.94 to 13.73) mm, 5.39 (range 0 to 9.44) mm, 7.27 (range 4.04 to 16.00) mm to a postoperative mean of 5.15 (range 2.93 to 7.30) mm, 7.21 (range 2.15 to 10.30) mm, and 4.25 (range 2.97 to 5.71) mm. No statistically significant difference was found between the 2 techniques. Both suture-button and metal screw fixation are effective treatment methods for an ankle fracture accompanied by syndesmosis injury. However, a long-term and prospective analysis is needed.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2016.05.002