Comparison of Clamp Reduction and Manual Reduction of Syndesmosis in Rotational Ankle Fractures: A Prospective Randomized Trial

Young Hwan Park, Jeong Hwan Ahn, Gi Won Choi, Hak Jun Kim

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

An optimal outcome of surgical treatment for a syndesmotic injury depends on accurate reduction and adequate fixation. It has been suggested that the use of a reduction clamp for reduction of the syndesmosis results in better reduction and a lower rate of redisplacement than manual reduction. However, these concepts have never been scientifically evaluated. We compared these 2 methods in a prospective randomized trial. A total of 85 acute ankle rotational fractures combined with syndesmotic injury were randomized to syndesmosis reduction with either a reduction clamp or manual manipulation. Reduction of the syndesmosis was assessed radiographically by measuring the tibiofibular clear space, tibiofibular overlap, and the medial clear space immediately postoperatively and at the final follow-up examination. Ankle joint range of motion, visual analog scale score, Olerud–Molander ankle scoring system, and complications were obtained at the last follow-up visit to assess the clinical outcomes. Of the 3 radiographic measurements, the tibiofibular clear space and tibiofibular overlap differed significantly between the 2 groups (p <.05). The clinical outcomes did not differ significantly between the 2 groups (p >.05). Although differences were found in the radiographic measurements, most syndesmoses in both groups were within the normal range at the final follow-up visit, and the 2 methods of syndesmosis reduction provided similar clinical outcomes. Accordingly, the results of the present study suggest that both of these methods are effective and reliable for reduction of the syndesmosis in rotational ankle fractures.

Original languageEnglish
Pages (from-to)19-22
Number of pages4
JournalJournal of Foot and Ankle Surgery
Volume57
Issue number1
DOIs
Publication statusPublished - 2018 Jan 1

Fingerprint

Ankle Fractures
Ankle Injuries
Ankle Joint
Articular Range of Motion
Visual Analog Scale
Ankle
Reference Values

Keywords

  • clamp reduction
  • manual reduction
  • rotational ankle fracture
  • syndesmotic injury

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Comparison of Clamp Reduction and Manual Reduction of Syndesmosis in Rotational Ankle Fractures : A Prospective Randomized Trial. / Park, Young Hwan; Ahn, Jeong Hwan; Choi, Gi Won; Kim, Hak Jun.

In: Journal of Foot and Ankle Surgery, Vol. 57, No. 1, 01.01.2018, p. 19-22.

Research output: Contribution to journalArticle

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