Motion of the fibula relative to the tibia and its alterations with syndesmosis screws: A cadaver study

Functional outcomes following syndesmotic fixation: A comparison of screws retained in situ versus routine removal – Is it really necessary?

“…The authors hypothesised that the restriction in the physiological motion of the fibula in relation to the tibia was to blame, and this was later confirmed in a recent study by Huber [15].…”

“…Proponents of screw removal will advocate that it restores the physiological biomechanics of the ankle joint, allowing for physiological motion to occur [15,20], and that it removes a foreign body and will improve long-term outcome [9]. A small prospective study has noted malreduction of the syndesmotic diastasis on computed tomography (CT) scanning following syndesmotic screw insertion, and the majority of these malreductions were shown to resolve after screw removal [21].…”

Akut ve kronik sindesmoz yaralanmaları

“…[82] Hareket kısıtlılığı, sindesmotik vidalar etrafında artmış basınca ve bunun sonucunda vida kırıklarına neden olur. [68,83] Vidaların rutin olarak çıkarılmasını ya da bırakılmasını destekleyen kesin kanıtlar yoktur.…”

Suture-button devices are at least as effective as screws for fixation of acute syndesmotic injuries: a systematic review

“…Biomechanical analysis of fibular motion with an intact syndesmosis showed a posterior translation of 1–3.1 mm, an external rotation between 2° and 5°,22 a cranial movement of 0.5 mm and a lateral movement of 2 mm during each plantar to dorsiflexion motion of the ankle 23. Also, complete immobilisation of a ligament seems to be detrimental to its healing and mechanical properties 24 25.…”