• Mustafa Seyhan, Ferdi Donmez, Mahir Mahirogullari, Selami Cakmak, Serhat Mutlu, and Olcay Guler.
• Acibadem University, Acibadem Kadikoy Hospital, Department of Orthopedics and Traumatology, Tekin Sokak No: 8, Kadıköy, 34718 Istanbul, Turkey. Electronic address: mseyhan63@gmail.com.
• Injury. 2015 Jul 1; 46 Suppl 2: S19-23.

Abstract17 patients with ankle syndesmosic injury were treated with a 4.5mm single cortical screw fixation (passage of screw 4 cortices) and 15 patients were treated with single-level elastic fixation material. All patients were evaluated according to the AOFAS ankle and posterior foot scale at the third, sixth and twelfth months after the fixation. The ankle range of movement was recorded together with the healthy side. The Student's t test was used for statistical comparisons. No statistical significant difference was observed between the AOFAS scores (p>0.05). The range of dorsiflexion and plantar flexion motion of the elastic fixation group at the 6th and 12th months were significantly better compared to the screw fixation group (p<0.01). Elastic fixation is as functional as screw fixation in the treatment of ankle syndesmosis injuries. The unnecessary need of a second surgical intervention for removal of the fixation material is another advantageous aspect of this method of fixation.Copyright © 2015. Published by Elsevier Ltd.

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