Screw versus suture button in treatment of syndesmosis instability: Comparison using weightbearing CT scan.
Foot Ankle Surg
; 27(3): 285-290, 2021 Apr.
Article
em En
| MEDLINE
| ID: mdl-33422428
ABSTRACT
BACKGROUND:
The superiority of screw or suture button fixation for syndesmotic instability remains debatable. Our aim is to compare radiographic outcomes of screw and suture button fixation of syndesmotic instability using weight bearing CT scan (WBCT).METHODS:
Twenty patients with fixation of unilateral syndesmotic instability were recruited and divided among two groups (screw = 10, suture button = 10). All patients had WBCT of both ankles ≥12 months postoperatively.RESULTS:
In suture button group, injured side measurements were significantly different from normal side for syndesmotic area (P = 0.003), fibular rotation (P = 0.004), anterior difference (P = 0.025) and direct anterior difference (P = 0.035). In screw group, syndesmotic area was the only significantly different measurement (P = 0.006).CONCLUSION:
While both screw and suture button didn't completely restore the syndesmotic area as compared to the contralateral uninjured ankle, external malrotation of the fibula was uniquely associated with suture button fixation. LEVEL OF EVIDENCE III Retrospective Cohort Study.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Suturas
/
Parafusos Ósseos
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Traumatismos do Tornozelo
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Fixação Interna de Fraturas
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Instabilidade Articular
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Articulação do Tornozelo
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article