SynthesisArchives of orthopaedic and trauma surgery2024
Better outcomes using suture button compared to screw fixation in talofibular syndesmotic injuries of the ankle: a level I evidence-based meta-analysis.
Synthesis in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Return-to-sport rate and time in elite athletes after ankle syndesmosis injuries: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- [Injuries of the tibiofibular syndesmosis].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Decision-Making and Management of Acute Isolated Syndesmosis Injuries in Athletes.The Iowa orthopaedic journal · 2026Review
- Outcomes of suture button fixation versus embrace fixation for syndesmotic injury.Journal of orthopaedic surgery and research · 2026Article
- A comparative analysis of different suture-button orientations for optimal dynamic stabilization of injured syndesmosis: A finite element study.Joint diseases and related surgery · 2026Article
- Fixation height has a greater biomechanical effect than anterior tilt angle in syndesmotic fixation for weber B ankle fractures: a specific finite element study.Frontiers in surgery · 2026Article
- Hybrid Fixation for Syndesmotic Stabilisation: A Systematic Review of Clinical and Biomechanical Evidence.Journal of clinical medicine · 2025Review
- Does syndesmotic fixation technique impact complication rates and functional outcomes measured by PROMIS scores following operative repair of ankle fractures?Journal of orthopaedic surgery and research · 2025Article
- Radiographic comparison of weight-bearing and non-weight-bearing positions in evaluating the distal tibiofibular syndesmosis: a single-center study of 72 ankles.Journal of orthopaedic surgery and research · 2025Article
- Ankle syndesmotic ligaments avulsion fractures: incidence in adult population.Journal of orthopaedic surgery and research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe present meta-analysis evaluated current level I clinical trials which compared the use of a suture button (SB) versus syndesmotic screw (SS) fixation techniques for syndesmosis injuries of the ankle. The outcomes of interest were to compare patient-reported outcome measures (PROMs) and complications. It was hypothesised that SB might achieve better PROMs along with a lower rate of complications.
methodsThis study was conducted according to the 2020 PRISMA statement. In August 2023, PubMed, Web of Science, Google Scholar, and Embase were accessed. All the randomised controlled trials (RCTs) which compared SB versus SS fixation for syndesmosis injuries of the ankle were accessed. Data concerning the American Orthopaedic Foot & Ankle Society (AOFAS), and Olerud-Molander score (OMS) were collected at baseline and at last follow-up. Data on implant failure, implant removal, and joint malreduction were also retrieved.
resultsData from seven RCTs (490 patients) were collected. 33% (161 of 490) were women. The mean length of the follow-up was 30.8 ± 27.4 months. The mean age of the patients was 41.1 ± 4.1 years. Between the two groups (SB and SS), comparability was found in the mean age, and men:women ratio. The SS group evidenced lower OMS (P = 0.0006) and lower AOFAS (P = 0.03). The SS group evidenced a greater rate of implant failure (P = 0.0003), implant removal (P = 0.0005), and malreduction (P = 0.04).
conclusionSuture button fixation might perform better than the syndesmotic screw fixation in syndesmotic injuries of the ankle.
Indexed as
Identifiers
38740648What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.