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Syndesmosis fixation in supination-external rotation ankle fractures : long-term results of a prospective randomised study |
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| Author: | Lehtola, Ristomatti1,2; Leskelä, Hannu-Ville1; Flinkkilä, Tapio E.1; |
| Organizations: |
1Department of Surgery, Division of Orthopaedic and Trauma Surgery, Oulu University Hospital, Kajaanintie 50, P.O. Box 21, FI 90029 OYS Oulu, Finland 2Medical Research Center Oulu, University of Oulu, Pentti Kaiteran Katu 1, P.O. Box 8000, FI-90014 Oulu, Finland 3Pohjola Sairaala, Kiilakivenkuja 1, 90250 Oulu, Finland
4Department of Radiology, Oulu University Hospital, Kajaanintie 50, P.O. Box 21, FI 90029 OYS Oulu, Finland
5Division of Operative Care, Oulu University Hospital, Kajaanintie 50, P.O. Box 21, FI 90029 OYS Oulu, Finland |
| Format: | article |
| Version: | accepted version |
| Access: | open |
| Online Access: | PDF Full Text (PDF, 0.3 MB) |
| Persistent link: | http://urn.fi/urn:nbn:fi-fe20231013140106 |
| Language: | English |
| Published: |
Elsevier,
2022
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| Publish Date: | 2023-10-13 |
| Description: |
AbstractBackground: The clinical relevance and treatment of syndesmosis injury in supination-external rotation (SER) ankle fractures are controversial. Methods: After malleolar fixation 24 SER 4 ankle fracture patients with unstable syndesmosis in external rotation stress test were randomised to syndesmosis transfixation with a screw (13 patients) or no fixation (11 patients). Mean follow-up time was 9.7 years (range, 8.9–11.0). The primary outcome measure was the Olerud-Molander Ankle Outcome Score (OMAS). Secondary outcome measures included ankle mortise congruity and degenerative osteoarthritis, 100-mm visual analogue scale for function and pain, RAND 36-Item Health Survey, and range of motion. Results: Mean OMAS in the syndesmosis transfixation group was 87.3 (SD 15.5) and in the no-syndesmosis-fixation group 89.0 (SD 16.0) (difference between means 1.8, 95% CI −10.4–14.0, P = 0.76). There were no differences between the two groups in secondary outcome measures. Conclusions: With the numbers available, SER 4 ankle fractures with unstable syndesmosis can be treated with malleolar fixation only, with good to excellent long-term functional outcome. see all
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| Series: |
Foot and ankle surgery |
| ISSN: | 1268-7731 |
| ISSN-E: | 1460-9584 |
| ISSN-L: | 1268-7731 |
| Volume: | 28 |
| Issue: | 2 |
| Pages: | 229 - 234 |
| DOI: | 10.1016/j.fas.2021.03.014 |
| OADOI: | https://oadoi.org/10.1016/j.fas.2021.03.014 |
| Type of Publication: |
A1 Journal article – refereed |
| Field of Science: |
3126 Surgery, anesthesiology, intensive care, radiology |
| Subjects: | |
| Copyright information: |
© 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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https://creativecommons.org/licenses/by-nc-nd/4.0/ |