Clinical and Radiological Results of Syndesmosis Injuries with Lateral Malleolus Fractures, Type-C1, According to Classification (Danis-Weber)
Abstract
27 patients were followed in our study for a whole year, Those who have a fracture of lateral malleolus above the Plafond level, Type-C1, According to Classification (Danis-Weber), associated with distal Tibiafebular ligament rupture (Syndesmosis injuries), may be associated with a fracture of medial malleolus or deltoid ligament rupture. Where operative intervention, reduction and fixation the lateral malleolus using Plate and screws, the transverse screw used to repair and stabilize of syndesmotic injuries is one of the plate screws for the lateral side of the Fibula.
The number of Females was 13 patients 48%, Males 14 patients 52%. The ages of the patients ranged from 29-57 years. The median age of the patients was the fifth decade. Indirect trauma was the main cause of these injuries, Pronation and external rotation, Pronation and abduction, especially sports njuries.
The Research showed that the anatomical reduction and internal fixation of the lateral malleolus using Plate and screws and repairing Syndesmosis injury using a screw, On the first day of injury with expert hands, good follow up, Physical rehabilitation, and removing Syndesmosis screw before full- weight bearing, gave better radiographic and functional results than not removing the union screw (Syndesmosis screw) and reducing complications throughout the treatment with follow-up for six months to one year after surgery.
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