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Bolt fixation for syndesmotic injuries
1Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium. jeroendevil@yahoo.co.uk
Bolt fixation effectively stabilizes ankle syndesmotic injuries, leading to accurate reduction and high patient satisfaction. This simple procedure offers reliable results, though removal may be needed for local symptoms.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Ankle biomechanics
Background:
- Syndesmotic ankle injuries require stable fixation for optimal healing.
- Traditional fixation methods may have limitations in achieving and maintaining syndesmotic reduction.
Purpose of the Study:
- To evaluate the efficacy of bolt fixation for syndesmotic ankle injuries.
- To assess clinical and radiographic outcomes and patient satisfaction following this surgical technique.
Main Methods:
- Retrospective study of 28 patients with syndesmotic ankle injuries treated with bolt fixation.
- Clinical assessment using the AOFAS score and radiographic evaluation of syndesmotic reduction.
- Mean follow-up of 66 months.
Main Results:
- Adequate syndesmotic stabilization during healing was achieved in all patients.
- Accurate radiological syndesmotic reduction was obtained in 26 patients (93%).
- Mean AOFAS score was 86, with high patient satisfaction.
Conclusions:
- Bolt fixation is a simple, quick, and reliable method for achieving syndesmotic reduction in ankle injuries.
- The fixation material does not require removal before weight-bearing.
- Removal may be necessary in cases of persistent local symptoms.
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