Syndesmotic screw fixation in Weber C ankle injuries-should the screw be removed before weight bearing?

Injury

Volumn 37, Issue 9, 2006, Pages 891-898

  Bell, David Paul ^a   Wong, Merng Koon ^b  

^a CHANGI GENERAL HOSPITAL   (Singapore)

^b SINGAPORE GENERAL HOSPITAL   (Singapore)

Author keywords

Ankle fractures; Operative fixation; Syndesmosis

Indexed keywords

ADULT; AGED; ANKLE FRACTURE; ANKLE INJURY; ARTICLE; BONE SCREW; CHI SQUARE TEST; CLINICAL ARTICLE; CONTROLLED STUDY; DEVICE REMOVAL; FEMALE; FIXATION FAILURE; FOLLOW UP; FRACTURE FIXATION; HUMAN; MALE; OPEN REDUCTION; OSTEOLYSIS; OSTEOSYNTHESIS; PRIORITY JOURNAL; RANGE OF MOTION; STATISTICAL SIGNIFICANCE; STUDENT T TEST; SYNDESMOTIC BONE SCREW; WEBER C ANKLE INJURY; WEIGHT BEARING;

ADOLESCENT; ADULT; AGED; ANKLE INJURIES; BONE SCREWS; FEMALE; FRACTURE FIXATION, INTERNAL; FRACTURES, BONE; HUMANS; MALE; MIDDLE AGED; RANGE OF MOTION, ARTICULAR; RECOVERY OF FUNCTION; RETROSPECTIVE STUDIES; TREATMENT OUTCOME; WEIGHT-BEARING;

EID: 33747146715     PISSN: 00201383     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.injury.2006.02.003     Document Type: Article

References (20)

1. Baird R.A., and Jackson S.T. Fractures of the distal part of the fibula with associated disruption of the deltoid ligament. Treatment without repair of the deltoid ligament. J Bone Joint Surg Am 69 9 (1987) 1346-1352
2. Bauer M., Bergstrom B., Hemberg A., and Sandegard J. Malleolar fractures-nonoperative versus operative treatment. Clin Orthop 199 (1985) 17-27
3. Beumer A., Campo M.M., Niesing R., et al. Screw fixation of the syndesmosis: a cadaver model comparing stainless steel and titanium screws and three and four cortical fixation. Injury 36 (2005) 60-64
4. Cox S., Mukherjee D.P., Ogden A.L., et al. Distal tibiofibular syndesmosis fixation: a cadaveric, simulated fracture stabilization study comparing bioabsorbable and metallic single screw fixation. J Foot Ankle Surg 44 2 (2005) 144-151
5. Ebraheim N.A., Mekhail A.O., and Gargasz S.S. Ankle fractures involving the fibula proximal to the distal tibiofibular syndesmosis. Foot Ankle Int 18 8 (1997) 513-521
6. Hoiness P., and Stromsoe K. Tricortical versus quadricortical syndesmosis fixation in ankle fractures: a prospective, randomized study comparing two methods of syndesmosis fixation. J Orthop Trauma 18 6 (2004) 331-337
7. Hovis W.D., Kaiser B.W., Watson J.T., and Bucholz R.W. Treatment of syndesmotic disruptions of the ankle with bioabsorbable screw fixation. J Bone Joint Surg Am 84-A 1 (2002) 26-31
8. Hughes J.L., Weber H., Willenegger H., and Kuner H. Evaluation of ankle fractures. Clin Orthop 138 (1979) 111
9. Kaukonen J.P., Lamberg T., Korkala O., and Pajarinen J. Fixation of syndesmotic ruptures in 38 patients with a malleolar fracture: a randomized study comparing a metallic and a bioabsorbable screw. J Orthop Trauma 19 6 (2005) 392-395
10. Kaye R.A. Stabilization of ankle syndesmosis injuries with a syndesmosis screw. Foot Ankle 9 6 (1989) 290-293
11. Lindsjo U. Operative treatment of ankle fractures. Acta Orthop Scand Suppl 189 (1981) 1-131
12. McBryde A., Chiasson B., Wilhelm A., et al. Syndesmotic screw placement: a biomechanical analysis. Foot Ankle Int 18 5 (1997) 262-266
13. Miller R.S., Weinhold P.S., and Dahners L.E. Comparison of tricortical screw fixation versus a modified suture construct for fixation of ankle syndesmosis injury: a biomechanical study. J Orthop Trauma 13 1 (1999) 39-42
14. Mitchell W.G., Shaftan G.W., and Sclafani S.J.A. Mandatory open reduction: its role in displaced ankle fractures. Trauma 19 (1979) 602
15. Needleman R.L., Skrade D.A., and Stiehl J.B. Effect of the syndesmotic screw on ankle motion. Foot Ankle 10 1 (1989) 17-24
16. Peter R.E., Harrington R.M., Henley M.B., and Tencer A.F. Biomechanical effects of internal fixation of the distal tibiofibular syndesmotic joint: comparison of two fixation techniques. J Orthop Trauma 8 3 (1994) 215-219
17. Seitz Jr. W.H., Bachner E.J., Abram L.J., et al. Repair of the tibiofibular syndesmosis with a flexible implant. J Orthop Trauma 5 1 (1991) 78-82
18. Sinisaari I.P., Luthje P.M., and Mikkonen R.H. Ruptured tibio-fibular syndesmosis: comparison study of metallic to bioabsorbable fixation. Foot Ankle Int 23 8 (2002) 744-748
19. Thompson M.C., and Gesink D.S. Biomechanical comparison of syndesmosis fixation with 3.5- and 4.5-millimeter stainless steel screws. Foot Ankle Int 21 9 (2000) 736-741
20. Weening B., and Bhandari M. Predictors of functional outcome following transsyndesmotic screw fixation of ankle fractures. J Orthop Trauma 19 2 (2005) 102-108