English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Aim Unstable syndesmotic ankle injury requires surgical management in the form of screw or tightrope fixation. However, the superiority of one technique over the other remains debatable. Our Study aims to identify the fixation of choice in unstable ankle syndesmotic injury based on the surgeon’s level of experience. Methods A survey was undertaken to analyse the management of ankle syndesmotic injuries AO 44c in a 35-year-old patient. Surgeons attending an orthopaedic course were invited to participate in a survey categorised into groups: junior surgeons, middle grades and experienced. X-ray was shown to the 100 participants and treatment options were asked. Results 100 surgeons from 20 nations took part in the event. Juniors made up 39%, registrars 38% and experienced surgeons were 29%. 93% chose screw fixation, out of which 66% favoured a single screw over two screws. 3–4 cortices were virtually evenly divided in choice, with 54 % preferring three and 46% preferring four cortices. Only 22% of the time did they utilise a washer with screws. 52% of the surgeons allowed weight-bearing 4 to 6 weeks after surgery. 34% preferred to remove the screw at 1–2 months and 29% at 2–3 months post-operatively. Conclusions Data show that majority of junior level doctors manage their patients according to AO principles. The majority prefer one 3.5mm screw positioned between 2–4 cm above the ankle joint, with three cortices being somewhat preferred. Despite the lack of data to support one procedure, the majority of people remove their screws within 1 to 3 months.

29 Ankle Syndesmotic Injury: Tightrope vs Screw Fixation, a Clinical Academic Survey