Posterior and anterior malleolus fixation is associated with lower syndesmosis malreduction rates.

IF 2.4 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2026-08-11 DOI:10.1016/j.fas.2026.08.003

Krzysztof Janik, Dariusz Grzelecki

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引用次数: 0

Abstract

Background: Syndesmotic malreduction after ankle fracture fixation is associated with poor outcomes. This study evaluated the association between posterior and anterior malleolus fixation and the accuracy of syndesmotic reduction.

Methods: Seventy-four patients with posterior malleolus fractures were prospectively enrolled and divided into three groups: no posterior or anterior malleolus fixation (Group 1), posterior malleolus fixation only (Group 2), and combined posterior and anterior malleolus fixation (Group 3). Syndesmotic reduction was assessed using three CT-derived parameters.

Results: CT reduction indices improved in Groups 2 and 3 compared with Group 1, with the greatest improvement observed in Group 3. Syndesmotic malreduction occurred in 29% of Group 1, 10% of Group 2, and 0% of Group 3 patients.

Conclusion: Posterior malleolus fixation was associated with improved syndesmotic reduction, while no malreductions were observed after combined posterior and anterior malleolus fixation in this cohort. Level II evidence.

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后踝和前踝固定与较低的韧带联合复位不良率相关。

背景：踝关节骨折固定后关节联合复位不良与不良预后相关。本研究评估了内踝前后固定与关节联合复位准确性之间的关系。方法：前瞻性纳入74例后踝骨折患者，分为不前后内踝固定组（1组）、仅后踝固定组（2组）和前后内踝联合固定组（3组）。使用三个ct衍生参数评估关节联合复位。结果：2、3组CT复位指标较1组改善，以3组改善最大。第1组29%，第2组10%，第3组0%的患者出现骨联合复位不良。结论：后踝固定可改善韧带联合复位，而在本队列中，后踝和前踝联合固定未观察到复位不良。二级证据。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.