Title: Assesment of Outcome of Using Syndesmotic Screws in Ankle Injuries

Authors: Nithyakumar.V.R, Neelakrishnan.R., Barathiselvan.V, Shanmugaraja. A.T, Harishkumar.R

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.30

Abstract

Introduction: In a predicted 1–11% of all ankle sprains, injury of the distal tibiofibular syndesmosis happens. 40% of patients have ankle instability 6 months after an ankle sprain. This might be because of widening of the ankle mortise as a result of stretch of syndesmotic ligaments after acute ankle sprain. In fractures of the ankle, syndesmotic damage takes place in approximately 50% of Weber type B and in all of  Weber type C fractures.

Aim: A Study to analyse the importance of the using syndesmotic screws in ankle injuries.

Materials & Methods: All cases of ankle injuries were assessed for syndesmotic disruption and finally taken up for surgery and Follow up achieved at regular interval for durations of 1 year. Post operatively patients were assessed using olerund and mollander scoring system.

Results: Twenty patients with syndesmotic disruption in ankle injuries had been treated with stainless steel syndesmotic screws and subsequently removed in 8-12 weeks then allowed for weight bearing have been studied from june 2015 to September 2017. Mean age of the patients 45.75 years (23-65 years). Mean hospital stay was 14 days (ranging from 12 to 17 days). The mean Olerud and Mollander score is 80.75(70-95).

Conclusion: In our study, Patients with syndesmotic screws had results that were comparable with that of other research done elsewhere with good functional outcome.

Keywords: syndesmotic disruption, syndesmotic screws.

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Corresponding Author

Nithyakumar.V.R

Postgraduate in Orthopaedics, Rajah Muthiah Medical College & Hospital, Annamalai University