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SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X

SA orthop. j. vol.8 n.1 Centurion Jan. 2009




Treatment of syndesmoses disruptions: A prospective, randomized study comparing conventional screw fixation vs TightRope® fiber wire fixation - medium term results



J Chris CoetzeeI; Patrick B EbelingII

IMD, MMed Ortho; Minnesota Sports Medicine & Twin Cities Orthopedics; Adjunct Associate Professor, University of Minnesota, Minneapolis
IIMD; Minnesota Sports Medicine & Twin Cities Orthopedics; Adjunct Associate Professor, University of Minnesota, Minneapolis





BACKGROUND: Open reduction and screw fixation is the current standard treatment for displaced injuries of the ankle syndesmosis. Despite reduction and stable internal fixation, however, these injuries do not uniformly have excellent outcomes. In addition, screw fixation has potential disadvantages.
MATERIALS AND METHODS: An ongoing prospective, randomized clinical trial comparing conventional screw fixation with TightRope® fiber wire fixation for syndesmosis injuries. The objective of this paper is also to provide an overview of the important anatomical and biomechanical issues relating to syndesmosis injuries.
RESULTS: At medium term follow-up the TightRope® fiber wire fixation group had a statistically significant better range of motion compared to conventional screw fixation. The AOFAS ankle and hindfoot score did not show a significant difference between the two groups.



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Dr J Chris Coetzee
Minnesota Sports Medicine & Twin Cities Orthopedics
775 Prairie Center Drive #250
Eden Prairie, MN 55344
Tel: 952 944 2519; Fax: 952 944 0460



This article was submitted to an ethical committee for approval. The content of this article is the sole work of the authors. No benefits of any form have been derived from any commercial party related directly or indirectly to the subject of this article.

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