ArticleJournal of orthopaedic case reports2026
Dual-Screw Fixation for Chronic Syndesmotic Injury: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Introduction: Ankle syndesmotic injuries present a major challenge due to their high biomechanical complexity and high risk of instability if not properly managed. There remains a controversy between the use of single versus double-screw fixation, Tight Rope fixation, arthrodesis, and ligament reconstruction, particularly in chronic or high physical demand cases. Case Report: A 25-year-old male presented to our trauma center after sustaining a bimalleolar fracture of the left ankle with chronic syndesmotic injury, lasted for 5 months, after a motorcycle accident. Initially, open reduction with internal fixation and single syndesmotic screw fixation was done. However, anterior subluxation of the syndesmotic joint was evident on computed tomography scan post-operatively, which necessitated revision surgery, after 1 week, with dual screw fixation to restore joint alignment. Conclusion: Dual-screw syndesmotic fixation provided superior outcomes in comparison to single-screw in patients with chronic injury and high-instability risk. This approach, if routinely done in selected cases, may reduce the incidence of recurrent instability and therefore the need for revision surgeries, as well as improve long-term functional outcomes.
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