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- Talk
- Canada
Tightrope versus Screw Fixation of the Tibio-Fibular Syndesmosis: A Long-Term CT Evaluation of Maintenance of Reduction
Description
This presentation, delivered by Prism Schneider, discusses the significance of anatomic reduction in the management of syndesmosis injuries. Schneider emphasizes that achieving correct syndesmotic reduction is crucial for improving patient outcomes. The talk presents findings from a study comparing rigid and flexible fixation techniques over a 12-month period, evaluating the maintenance of syndesmotic reduction using CT scans. The study hypothesized that flexible stabilization might not maintain reduction as effectively as rigid stabilization, even though flexible techniques have shown promise in reducing rates of malreduction.
The cohort comprised patients from a prior randomized trial, with outcomes measured at three and twelve months post-surgery. Key findings reveal that while screw fixation demonstrated a significant reduction in syndesmotic integrity over time, flexible fixation with a tightrope device maintained its reduction, pointing to a better long-term performance. The presentation highlights a trend towards improved functional scores in patients with the tightrope fixation compared to those with screws, suggesting a need for further investigation into the biomechanical behavior and motion of syndesmosis. Schneider concludes by underscoring the importance of in vivo analysis for guiding future interventions.