APC Injuries With Symphyseal Fixation: What Affects Outcome?

Objective: To evaluate the influence of the symphyseal position at union, implant failure, and the type of posterior ring injury on validated outcome measures.

Design: Retrospective review with prospectively collected validated outcome data.

Setting: Two academic level 1 trauma centers.

The Fate of the Fixed Syndesmosis Over Time.

Background: A prior study demonstrated statistical widening of the syndesmosis within weeks of elective screw removal. However, no information is available as to the radiographic outcomes of screw retention. The aim of this study was to evaluate radiographic syndesmotic widening and talar shift over time in patients treated with syndesmotic screws and to compare screw removal with retention along with other potential risk factors that may have led to tibia-fibula diastasis after weightbearing.