Evidence map›Paper›PMID 41141690›Full record

ArticleFrontiers in surgery2025

Ankle fracture with syndesmotic injury treated by screw fixation: a prospective study on clinical and radiographic outcomes.

Xiaodong Li, Pengcheng Liu, Ran Duan, Xiang Wang, Qianhua Zhu, Shuangling Ni, Xiaoqing Wang

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PubMed Full text at PMC Publisher
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Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xiaodong Li *Department of Orthopedics, Shanghai Key Laboratory of Orthopedic Implant, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Pengcheng Liu *Department of Orthopedics, Shanghai Key Laboratory of Orthopedic Implant, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ran DuanDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiang WangDepartment of Orthopedics, Shanghai Key Laboratory of Orthopedic Implant, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Qianhua ZhuDepartment of Orthopedics, Shanghai Key Laboratory of Orthopedic Implant, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shuangling NiDepartment of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiaoqing WangDepartment of Orthopedics, Shanghai Key Laboratory of Orthopedic Implant, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The syndesmotic screws are frequently utilized in the treatment of unstable ankle fractures. However, significant controversies persist regarding their optimal application strategies. This study aims to investigate the dynamic changes in syndesmotic reduction among patients with unstable ankle fractures following syndesmotic screw fixation and to explore the relationship between malreduction and functional outcomes. Methods: Patients with unstable ankle fractures who underwent open reduction and internal fixation (ORIF) with syndesmotic screw fixation from January 2020 were prospectively enrolled. Syndesmotic screws were routinely removed 8-12 weeks post-fixation. All patients were followed up at five time points: immediately after internal fixation, prior to syndesmotic screw removal (8-12 weeks), and at 3, 6, and 12 months post-initial fixation. Evaluations included imaging (Computed Tomography, CT), functional outcomes [Ankle and Hindfoot Function Scoring System (AOFAS), Olerud-Molander Ankle Score (OMAS)], and pain assessment (Visual Analog Scale, VAS). Results: From January 2020 to January 2021, a total of 26 patients were included in this study. The incidence of malreduction at the five follow-up time points was 69.2% (18/26), 61.5% (17/26), 50% (13/26), 61.5% (16/26), and 61.5% (16/26), respectively. Malreduction of the anterior tibiofibular distance and fibular rotation were the primary contributing factors. Functional outcomes were significantly worse for patients with malreduction following syndesmotic screw removal compared to those without malreduction ( Conclusions: (1) Dynamic changes in syndesmotic reduction were observed at various time points within one year post-surgery. Removal of the syndesmotic screw improved syndesmotic reduction to some extent; however, re-diastasis may occur after weight-bearing. (2) Syndesmotic malreduction following screw removal was associated with poorer ankle functional outcomes.

Indexed as

ankle fracturecomputed tomographymalreductionsyndesmosissyndesmotic fixation

Identifiers

PMID41141690
PMCPMC12547989

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