Ahmad Mohammad Kamal, Hassan Hussain Ahmad, Mohammed Anter Meselhy and Adel Samy El Hammady
Background: Ankle fractures with syndesmotic injuries are a critical component of any trauma surgeon's practice. Fixation of ankle fractures with syndesmosis injuries is a topic of controversy in the literature.
Patient and Method: A total of forty patients with inferior tibiofibular syndesmotic disruption participated in this study. Group A, encompassing twenty participants, was treated with stainless steel syndesmotic screws, whereas Group B, also comprising twenty participants, underwent tight rope fixation.
Results: the results in Group A according to radiological criteria of reduction were good in 14 patients (70%) while were fair in 5 patients (25%) and poor in one patient (5%). According to the modified AOFAS: in group A, 18 subjects (90%) were deemed satisfactory, 10 (50%) were excellent, 8 (40%) were acceptable, and only 2 (10%) were unsatisfactory; one patient (5%) was fair whereas the other was poor (5%). In Group B: radiological criteria of reduction were good in 14 participants (70%) and fair in 6 (30%). According to the modified AOFAS: results were deemed satisfactory in 20 participants (100%), with 17 (85%) receiving excellent outcomes and 3 (15%) receiving good results. Concerning postoperative complications among patients of both groups No infection was reported among the patients of both groups except some superficial infection in 3 patients in group A and in 1 patient in group B, they were treated by systemic antibiotics and daily dressing and totally resolved.
Conclusion: Tightrope serves as a reliable treatment option for tibiofibular diastasis. It is straightforward, safe, and effective, offering physiological stabilization of the ankle mortise whereas eliminating the necessity for a follow-up procedure to remove hardware, unlike screws.
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