COA-ACO2018: Tightrope versus screw fixation for unstable syndesmotic injuries .
Improved Reduction of the Tibio-Fibular Syndesmosis with Tightrope compared to Screw Fixation: Results of a Randomized Controlled Study
101 patients with an unstable syndesmotic injury associated with a malleolar fracture were randomized to syndesmotic stabilization with either a Tightrope device or two cancellous screws. Malreduction was assessed on CT at 3 months. Functional outcome and reoperation rate were followed-up for 12 months postoperatively. The incidence of malreduction and reoperation were both significantly lower in the Tightrope group compared to the screw group. Functional outcomes did not significantly differ between groups.
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