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Does position of syndesmotic screw affect functional and radiological outcome in ankle fractures?
S Kukreti1, A Faraj, J N V Miles
1Department of Orthopaedics, Hull Royal Infirmary, Anlaby road, Hull HU3 2JZ, UK. emailsankuk@yahoo.co.uk
Abstract:
The optimum level of syndesmotic screw used in ankle fractures with a tibiofibular diastasis is not clear in the literature. In a retrospective cohort study, we evaluated the clinical and radiological outcomes in two groups of patients-those who had a syndesmotic screw placed through the syndesmosis itself (transsyndesmotic, 17 patients) and those who had a syndesmotic screw placed just above the syndesmosis (suprasyndesmotic, 19 patients). The study suggests that the two groups do not differ significantly in terms of clinical and radiological outcomes.
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