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Subject Area

Orthopedic Surgery

Article Type

Original Study

Abstract

Background Syndesmotic injuries are common at ankle fractures and there are many modalities for the treatment of such injuries. Objectives To compare clinical and radiological results of closed reduction and fixation of syndesmotic injury by a single tricortical screw and two tricortical screws in the case of bimalleolar ankle fractures associated with syndesmotic injury. Patients and methods A prospective randomized study was carried out on 30 patients with bimalleolar ankle fracture associated with syndesmotic injury, who attended the Menoufia University Hospital. Results The ankle affected in group A shows that seven (46.7%) had the ankle affected in the left side and eight (53.3%) had the ankle affected in the right side while in group B six (40.0%) had the ankle affected in the left side and nine (60.0%) had the ankle affected in the right side. Conclusion There was no significant difference regarding the use of one screw or two screws in the fixation of syndesmotic injury in ankle fractures.

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