ArticleFrontiers in surgery2026
Radiological comparison of isolated syndesmotic screw fixation and transplate syndesmotic screw fixation in distal tibiofibular syndesmotic injuries.
Article in Frontiers in surgery, 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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Abstract
Purpose: The purpose of the study is to compare isolated syndesmotic screw fixation and transplate syndesmotic screw fixation in distal tibiofibular syndesmotic injuries. Methods: In this retrospective study, 37 patients diagnosed with pronation-external rotation ankle fractures requiring screw fixation were enrolled between July 2023 and December 2024. Nineteen patients underwent isolated syndesmotic screw fixation. Another group of 18 patients received transplate syndesmotic screw fixation. Follow-up was conducted for a minimum duration of 12 months. Radiographic outcomes were assessed using CT scans and x-rays. The CT evaluations included measurements of screw entry point and trajectory, anterior tibiofibular distance, posterior tibiofibular distance, anteroposterior fibular translation, and fibular rotation, conducted within 24 h post-operation and at one year after syndesmotic screw removal. x-ray assessments focused on tibiofibular overlap, tibiofibular clear space, and medial clear space, also evaluated at the same time nodes. Results: Preoperative and intraoperative data, including age, sex, time from injury to surgery, and mean operating time, were comparable between the two groups ( Conclusions: According to radiological comparisons, the fibular plate may interfere with screw placement and increase the likelihood of malalignment of the distal tibiofibular syndesmosis.
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