Evidence Search

Treatment of a Scientifically Neglected Ankle Injury: The Isolated Medial Malleolar Fracture. A Systematic Review.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons | 2019 | Lokerman RD, Smeeing DPJ, Hietbrink F, van Heijl M

[Indexed for MEDLINE] 14. BMC Musculoskelet Disord. 2018 Mar 9;19(1):77. doi: 10.1186/s12891-018-1995-9. Modified Essex-Lopresti procedure with percutaneous calcaneoplasty for comminuted intra-articular calcaneal fractures: a retrospective case analysis. Shih JT(1), Kuo CL(1), Yeh TT(1), Shen HC(1), Pan RY(1), Wu CC(2). Author information: (1)Department of Orthopaedic Surgery,...

Comparison of Posterior and Lateral Surface Plating for Type B Weber Lateral Malleoli Fractures.

Foot & ankle specialist | 2024 | Hegde A, Shetty C, Joseph N, Mane P

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. 13. J Foot Ankle Surg. 2019 Sep;58(5):959-968. doi: 10.1053/j.jfas.2018.12.028. Epub 2019 Jun 7. Treatment of a Scientifically Neglected Ankle Injury: The...

Functional Outcomes Post Lisfranc Injury-Transarticular Screws, Dorsal Bridge Plating or Combination Treatment?

Journal of orthopaedic trauma | 2017 | Lau S, Guest C, Hall M, Tacey M

[Indexed for MEDLINE] 11. Acta Orthop Belg. 2018 Dec;84(4):469-478. Operative treatment algorithm for intra-articular calcaneal fractures. Popelka V, Zamborsky R. Displaced calcaneus fracture often results in severe permanent sequelae and considerably limits the activities of daily living. In this prospective cohort study we present the outcomes of surgical treatment of 137 dis...

Early Results of a Novel Intramedullary Fixation Device for Proximal Fifth Metatarsal Fractures.

Foot & ankle specialist | 2023 | Umbel BD, Sharpe BD, Hockman T, Philbin TM

[Indexed for MEDLINE] 3. CJEM. 2012 Mar;14(2):128-32. doi: 10.2310/8000.2011.110338. Neuropathic ankle fractures. Tucker A(1), Craig Stone N. Author information: (1)Division of Orthopedic Surgery, Memorial University, St. John’s, NL. A 65-year-old diabetic female presented with a 3-week history of a left swollen foot after a minor inversion injury and was found to have a minima...

Radiological comparison of isolated syndesmotic screw fixation and transplate syndesmotic screw fixation in distal tibiofibular syndesmotic injuries

Frontiers in Surgery | 2026 | Tianming Yu, Jichong Ying, Dichao Huang, Jingwei Zhang

Purpose The purpose of the study is to compare isolated syndesmotic screw fixation and transplate syndesmotic screw fixation in distal tibiofibular syndesmotic injuries. Methods In this retrospective study, 37 patients diagnosed with pronation-external rotation ankle fractures requiring screw fixation were enrolled between July 2023 and December 2024. Nineteen patients underwen...

Mid- and long-term outcomes of surgical treatment for distal tibial physeal fractures.

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES | 2025 | Kart H, Jabbarli A, Gündoğdu M, Tunç OD

[Indexed for MEDLINE] Conflict of interest statement: Conflict of Interest: The authors have no conflicts of interest to declare. 20. J ISAKOS. 2022 Feb;7(1):13-18. doi: 10.1016/j.jisako.2021.10.005. Epub 2021 Nov 17. Significant variations in surgical construct and return to sport protocols with syndesmotic injuries: an ISAKOS global perspective. Hunt KJ(1), Bartolomei J(2), C...

Biomechanical Comparison of Posterolateral Fibula Plating with Independent Syndesmotic Screw Fixation Versus Direct Lateral Plating with Syndesmotic Screw Fixation Through Plate

Stony Brook Orthopaedic and Musculoskeletal Journal | 2025 | Dmitriy Butsenko, Zack Bonick, J Gary Bledsoe, Michael E Doany

Syndesmotic fixation has been extensively investigated. Screw size, number, position, orientation, and flexible fixation options have all been investigated at length. There is however a lack of knowledge of any difference between an independent syndesmotic screw versus onethrough a lateral plate. The purpose therefore is to perform a biomechanical assessment of syndesmotic fixa...

Management of Syndesmotic Ankle Injuries: Results of a Survey of Pediatric Orthopaedic Society of North America Members.

Journal of the Pediatric Orthopaedic Society of North America | 2024 | Williams CE, Stewig B, Lee SW, Cook D

Conflict of interest statement: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. 9. Foot Ankle Orthop. 2022 Jun 14;7(2):24730114221104078. doi: 10.1177/24730114221104078. eCollection 2022 Apr. The Anatomy and Function of the Individual Bands of the Deltoid L...

Posterolateral Versus Posteromedial Approach for Posterior Malleolus Fixation in Trimalleolar Fractures of the Ankle.

Cureus | 2024 | Khandge A, Salunkhe R, Kale A, Medapati S

Conflict of interest statement: Human subjects: Consent was obtained or waived by all participants in this study. Research and Recognition Committee issued approval IESC/PGS/2022/102. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors decl...

A Single-Center Retrospective Study on the Clinical Outcomes of TightRope Fixation Versus Syndesmotic Screw Fixation in the Management of Acute Traumatic Ankle Syndesmotic Injuries

Cureus | 2024 | Fang Fang Quek, Humam Jundi, Ioannis Aktselis, Mosab Elgalli

Lateral Inverted Osteochondral Fracture of the Talus: Case Reports and Review of the Literature.

Acta clinica Croatica | 2018 | Jurina A, Delimar V, Dimnjaković D, Bojanić I

[Indexed for MEDLINE] 16. Cureus. 2024 Sep 14;16(9):e69402. doi: 10.7759/cureus.69402. eCollection 2024 Sep. Posterolateral Versus Posteromedial Approach for Posterior Malleolus Fixation in Trimalleolar Fractures of the Ankle. Khandge A(1), Salunkhe R(1), Kale A(1), Medapati S(1), Sharma P(1), Kulkarni K(1), Varma R(1). Author information: (1)Orthopedics, Dr. D. Y. Patil Medica...

Locking plates for distal fibula fractures in young and elderly patients: A retrospective study.

World journal of orthopedics | 2023 | Evola FR, Di Fede GF, Evola G, Barchitta M

Conflict of interest statement: Conflict-of-interest statement: The authors declare that they have no conflicts of interest. 19. Ulus Travma Acil Cerrahi Derg. 2025 Feb;31(2):189-193. doi: 10.14744/tjtes.2024.06474. Mid- and long-term outcomes of surgical treatment for distal tibial physeal fractures. Kart H(1), Jabbarli A(2), Gündoğdu M(2), Tunç OD(2), Topkar OM(2), Baysal Ö(2...

Syndesmotic Injuries: Evidence Based Treatment

OrthoMedia | 2023

The Anatomy and Function of the Individual Bands of the Deltoid Ligament-and Implications for Stability Assessment of SER Ankle Fractures.

Foot & ankle orthopaedics | 2022 | Gregersen MG, Fagerhaug Dalen A, Nilsen F, Molund M

Conflict of interest statement: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. ICMJE forms for all authors are available online. 10. J Orthop Trauma. 2017 Aug;31(8):447-452. doi: 10.1097/BOT.0000000000000848. Functional Outcomes Post Lisfranc Injury-Tra...

Significant variations in surgical construct and return to sport protocols with syndesmotic injuries: an ISAKOS global perspective.

Journal of ISAKOS : joint disorders & orthopaedic sports medicine | 2022 | Hunt KJ, Bartolomei J, Challa SC, McCormick JJ

[Indexed for MEDLINE] Conflict of interest statement: Declaration of competing interest K.J.H. reports other from Panther Orthopaedics, during the conduct of the study; In addition, he has a patent Puma issued. The other authors have no competing interests to declare.

Ultrasound Assessment of Syndesmotic Injuries in a Pediatric Population

Orthopaedic Journal of Sports Medicine | 2022 | Pierre-Henri Heitz, Marie-Claude Miron, Marie Beauséjour, Lydia DiLiddo

Background: Syndesmotic injuries have a higher prevalence in athletes and can present long-term complications particularly in pediatric population. Early diagnosis is necessary and can be done using various modalities, but, they either present poor sensitivity, poor clinical feasibility or are exclusively static. Ultrasound (US) could compensate for those drawbacks. Hypothesis/...

Syndesmotic Injuries: Controversies and Updates

OrthoMedia | 2021

Posterior malleolar fractures: A CT guided incision analysis.

Foot (Edinburgh, Scotland) | 2020 | Gandham S, Millward G, Molloy AP, Mason LW

[Indexed for MEDLINE] 5. Injury. 2017 Jul;48(7):1684-1688. doi: 10.1016/j.injury.2017.03.045. Epub 2017 Apr 15. Tibio-talo-calcaneal fusion after limb salvage procedures-A retrospective study. Zak L(1), Wozasek GE(2). Author information: (1)Department of Traumatology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. Electronic address: lukas.zak@med...

Fibular nailing for fixation of ankle fractures in patients at high risk of surgical wound infection.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons | 2020 | Karkkola S, Kortekangas T, Pakarinen H, Flinkkilä T

[Indexed for MEDLINE] 7. Foot (Edinb). 2018 Sep;36:15-20. doi: 10.1016/j.foot.2018.04.002. Epub 2018 Apr 24. Better is the foe of good: Outcome of operatively treated ankle fractures in the elderly. Rupp M(1), Kockmann S(2), El Khassawna T(3), Raschke MJ(2), Heiss C(4), Ochman S(2). Author information: (1)University Hospital Giessen and Marburg, Campus Giessen, Department of Tr...

Syndesmotic Injuries Treated With an Aperture Fixation Device

Techniques in Foot & Ankle Surgery | 2020 | Sarang Desai

Syndesmotic injuries commonly occur in rotation injuries to the ankle. Suspensory suture button devices have become commonplace but are known to have several drawbacks. The aperture fixation device composed of a threaded tibia anchor, fixed length suture bridge, and telescoping fibular anchor. It preserves the concept of retaining physiological motion of the syndesmosis but pro...

[Current Concepts in the Treatment of Intra-Articular Calcaneal Fractures].

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca | 2019 | Popelka V

[Indexed for MEDLINE] 2. Foot Ankle Spec. 2023 Apr;16(2):113-120. doi: 10.1177/19386400211016948. Epub 2021 Jun 18. Early Results of a Novel Intramedullary Fixation Device for Proximal Fifth Metatarsal Fractures. Umbel BD(1), Sharpe BD(1), Hockman T(1), Philbin TM(2). Author information: (1)OhioHealth, Columbus, Ohio. (2)Orthopedic Foot and Ankle Center, Worthington, Ohio. BACK...

Functional results of dynamic fixation for ankle syndesmotic injuries

The Egyptian Orthopaedic Journal | 2019 | MohamedM.F Sharaby

Anatomic Ligament Repairs of Syndesmotic Injuries

Orthopedic Clinics of North America | 2019 | Craig C. Akoh, Phinit Phisitkul

Better is the foe of good: Outcome of operatively treated ankle fractures in the elderly.

Foot (Edinburgh, Scotland) | 2018 | Rupp M, Kockmann S, El Khassawna T, Raschke MJ

[Indexed for MEDLINE] 8. J Pediatr Soc North Am. 2024 Sep 14;9:100114. doi: 10.1016/j.jposna.2024.100114. eCollection 2024 Nov. Management of Syndesmotic Ankle Injuries: Results of a Survey of Pediatric Orthopaedic Society of North America Members. Williams CE(1), Stewig B(1), Lee SW(1)(2), Cook D(1), Shore BJ(1)(2), May CJ(1)(2). Author information: (1)Department of Orthopedic...

Operative treatment algorithm for intra-articular calcaneal fractures.

Acta orthopaedica Belgica | 2018 | Popelka V, Zamborsky R

[Indexed for MEDLINE] 12. Foot Ankle Spec. 2024 Apr;17(2):155-161. doi: 10.1177/19386400221079197. Epub 2022 Feb 22. Comparison of Posterior and Lateral Surface Plating for Type B Weber Lateral Malleoli Fractures. Hegde A(1), Shetty C(1), Joseph N(2), Mane P(1). Author information: (1)Department of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Edu...

Modified Essex-Lopresti procedure with percutaneous calcaneoplasty for comminuted intra-articular calcaneal fractures: a retrospective case analysis.

BMC musculoskeletal disorders | 2018 | Shih JT, Kuo CL, Yeh TT, Shen HC

[Indexed for MEDLINE] Conflict of interest statement: AUTHORS’ INFORMATION: CW is Associate Professor in Department of Orthopaedics at National Defense Medical Center in Taiwan. He fulfilled his fellowship in Georgetown University Hospital (Washington, DC), and specialized in bone and soft tissue reconstruction. ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Approval was obtained...

Proximally pedicled medial plantar flap based on superficial venous system alone for venous drainage.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS | 2013 | Wright TC, Mossaad BM, Chummun S, Khan U

[Indexed for MEDLINE] 18. World J Orthop. 2023 Jul 18;14(7):540-546. doi: 10.5312/wjo.v14.i7.540. eCollection 2023 Jul 18. Locking plates for distal fibula fractures in young and elderly patients: A retrospective study. Evola FR(1), Di Fede GF(2), Evola G(3), Barchitta M(4), Agodi A(4), Longo G(5). Author information: (1)Department of Surgery, Division of Orthopedics and Trauma...

Cost-Effectiveness Analysis of Syndesmotic Screw Versus Suture Button Fixation in Tibiofibular Syndesmotic Injuries

Journal of Orthopaedic Trauma | 2018 | Duncan C. Ramsey, Darin M. Friess

Objectives: To evaluate the cost effectiveness of suture buttons compared with syndesmotic screws for repair of tibiofibular syndesmotic injuries. Methods: A decision tree model was constructed to describe outcomes after syndesmosis repair using suture buttons and syndesmotic screws from the perspective of a capitated health care system. Outcomes were uneventful healing, remova...

Syndesmotic Injuries

Clinical Orthopaedic Rehabilitation: a Team Approach | 2018 | S. Brent Brotzman, John J. Jasko

Neuropathic ankle fractures.

CJEM | 2012 | Tucker A, Craig Stone N

[Indexed for MEDLINE] 4. Foot (Edinb). 2020 Jun;43:101662. doi: 10.1016/j.foot.2019.101662. Epub 2019 Dec 30. Posterior malleolar fractures: A CT guided incision analysis. Gandham S(1), Millward G(1), Molloy AP(2), Mason LW(3). Author information: (1)Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK. (2)Liverpool University Hospitals NHS Foundation Trust, Liver...

Tibio-talo-calcaneal fusion after limb salvage procedures-A retrospective study.

Injury | 2017 | Zak L, Wozasek GE

[Indexed for MEDLINE] 6. Foot Ankle Surg. 2020 Oct;26(7):784-789. doi: 10.1016/j.fas.2019.10.005. Epub 2019 Oct 25. Fibular nailing for fixation of ankle fractures in patients at high risk of surgical wound infection. Karkkola S(1), Kortekangas T(2), Pakarinen H(2), Flinkkilä T(2), Niinimäki J(3), Leskelä HV(2). Author information: (1)Oulu University Hospital, Department of Sur...

Syndesmotic Injuries

Sports Medicine for the Orthopedic Resident | 2016 | Christopher E. Gross

Syndesmotic Injury Treatment with TightRope Fixation is More Accurate Than Screw Fixation

JBJS Orthopaedic Highlights: Sports Medicine | 2013 | Matthew D. Milewski

Fixation of Ankle Syndesmotic Injuries

The American Journal of Sports Medicine | 2012 | Gohar A. Naqvi, Patricia Cunningham, Bernadette Lynch, Rose Galvin

Background: Ankle syndesmotic injuries are complex and require anatomic reduction and fixation to restore the normal biomechanics of the ankle joint and prevent long-term complications. Purpose: The aim of this study is to compare the accuracy and maintenance of syndesmotic reduction using TightRope versus syndesmotic screw fixation. Study Design: Cohort study; Level of evidenc...

Syndesmotic disruptions of the ankle

Orthopedic Trauma Directions | 2005