ArticleMedicine2026
Finite element analysis of titanium cable tensioning ring fixation in the treatment of distal tibiofibular syndesmosis injury.
Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
This study employs the finite element analysis method to compare the biomechanical differences between 2 different internal fixation techniques: the novel surgical approach of using titanium cable tensioning ring for distal tibiofibular syndesmosis (DTS) injuries and the conventional method of utilizing Endobutton plate. Utilizing a CT image of the ankle joint from a healthy adult, models representing a normal ankle joint (Model A), a DTS injury (Model B), a titanium cable tensioning ring (Model C), and an endobutton plate fixation (Model D) were developed through finite element software. The Von Mises stress and fibula displacement relative to the tibia were assessed in each model across 3 loading conditions: standing on 1 leg, ankle internal rotation, and ankle external rotation. Across 3 loading conditions, Model B exhibited the greatest displacement of the fibula compared to Model A, with a maximum rate of increase of 166.3% for anterior and posterior displacement, and 265.7% for internal and external displacement. The fibula displacement rates relative to the tibia in Models C and D were below 20%. Additionally, Model B showed the highest maximum stress on the tibiotalar joint surface, increasing by 42.1%, 41.2%, and 35.0% when standing on 1 foot, pronating inward, and pronating outward, respectively. Conversely, the increase in maximum stress on the tibiotalar joint surface in Models C and D was <5%, resulting in a significant reduction of stress on the tibiotalar joint surface following DTS injury. The results showed that high efficacy in treating DTS injuries was demonstrated by the titanium cable tensioning ring, comparable to the effectiveness of an endobutton plate.
Indexed as
Identifiers
What 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.