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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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A Mini-Invasive Internal Fixation Technique for Studying Immobilization-Induced Knee Flexion Contracture in Rats

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Dynamic Fixation versus Static Screw Fixation for Syndesmosis Injuries in Pronation External Rotation Ankle

C M Lim¹, S W Choi¹, B S Kim¹

¹Department of Orthopaedic Surgery, Jeju National University Hospital, Jeju, South Korea.

Malaysian Orthopaedic Journal

|December 18, 2023

Summary

This summary is machine-generated.

Dynamic fixation offers similar outcomes to static screw fixation for ankle syndesmosis injuries but is more cost-effective and has fewer complications. This study compared both methods in pronation-external rotation fractures.

Keywords:

ankle dynamic fixation screw fixation syndesmosis injury

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Published on: March 22, 2018

Area of Science:

Orthopedic Surgery
Traumatology
Biomechanics

Background:

Ankle syndesmosis injuries often require surgical intervention.
Static screw fixation is the current standard treatment.
Dynamic fixation aims to restore natural syndesmotic function.

Purpose of the Study:

To compare the efficacy of dynamic fixation versus static screw fixation for ankle syndesmosis injuries.
Specifically evaluate outcomes in pronation-external rotation fractures.

Main Methods:

A comparative study involving 30 patients in the dynamic fixation (DF) group and 28 in the static screw fixation (SF) group.
Assessed Olerud-Molander Ankle Outcome Score, Visual Analogue Scale, and American Orthopedic Foot and Ankle Society scores.
Radiographic outcomes (tibiofibular clear space, overlap, medial clear space) and cost-effectiveness were analyzed.

Main Results:

No significant differences were found in clinical outcomes (Olerud-Molander, VAS, AOFAS) or radiographic measures between the DF and SF groups.
The SF group experienced complications, including two cases of reduction loss and four of screw breakage.
The DF group reported no complications and demonstrated greater cost-effectiveness regarding total hospital costs.

Conclusions:

Dynamic fixation yields comparable clinical and radiological results to static screw fixation for ankle syndesmosis injuries.
Dynamic fixation presents a more cost-effective option with a lower complication rate.
Dynamic fixation is a potentially superior treatment for pronation-external rotation ankle fractures.