Journal of Research in Orthopedic Science
1
J. Res. Orthop. Sci.
Medical Sciences
http://jros.iums.ac.ir
1
admin
2676-7031
2676-7031
8
7
14
8888
13
en
jalali
1399
11
1
gregorian
2021
2
1
8
1
online
1
fulltext
en
Radiologic Assessment for Evaluating the Post-operative Reduction of Syndesmosis: A Retrospective Study
پا و مچ پا
Foot and Ankle
پژوهشی
Research Article
<div style="text-align: justify;"><strong>Background: </strong>Assessing the reduction of syndesmosis is highly recommended due to the complications occurring after the malreduction of the syndesmosis. This study evaluated the post-operative Computed Tomography (CT) scans and standard plain radiographs for assessing the reduction of syndesmosis post-operatively.<br>
<strong>Objectives:</strong> Evaluating the radiologic assessments of post-operative reduction of syndesmosis.<br>
<strong>Methods: </strong>In this retrospective cohort study, 45 patients presented with ankle fractures and syndesmosis failure to the emergency department of our hospital between 2015 and 2019 were evaluated by post-operative CT scans and plain radiographs.<br>
<strong>Results:</strong> Diastasis was demonstrated in 18 patients (40%) in plain radiographs, in 4 patients (8%) by tibial clear space, in 5 patients (11%) by medial clear space, in 10 patients (22%) by AP tibiofibular overlap, and in patients 8 (17%) by mortise tibiofibular overlap. Diastasis was demonstrated in 24 patients (53%) in CT scans, of whom 18 patients had abnormal radiographic parameters, while 6 patients had normal radiographic parameters.<br>
<strong>Conclusion:</strong> We found a post-operative CT scan more useful than standard plain radiographic measurement for assessing the reduction of the syndesmosis. We suggest the use of post-operative CT scan as a routine to evaluate the syndesmosis reduction.</div>
Syndesmosis failure, ankle fracture, CT scan, Plain radiographs
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http://jros.iums.ac.ir/browse.php?a_code=A-10-746-1&slc_lang=en&sid=1
Ali
Yeganeh
yeganeh.a@iums.ac.ir
10031947532846004340
10031947532846004340
No
Department of Orhtopaedic Surgery, Faculty of medicine, Iran university of Medical Sciences, Tehran, Iran.
Mehdi
Moghtadaei
10031947532846004341
10031947532846004341
No
Department of Orhtopaedic Surgery, Faculty of medicine, Iran university of Medical Sciences, Tehran, Iran.
Babak
Otoukesh
10031947532846004342
10031947532846004342
No
Department of Orhtopaedic Surgery, Faculty of medicine, Iran university of Medical Sciences, Tehran, Iran.
Mohammad
Soleymani
10031947532846004343
10031947532846004343
No
Department of Orhtopaedic Surgery, Faculty of medicine, Iran university of Medical Sciences, Tehran, Iran.
Seyed Mani
Mahdavi
10031947532846004344
10031947532846004344
No
Department of Orhtopaedic Surgery, Faculty of medicine, Iran university of Medical Sciences, Tehran, Iran.
Shayan
Amiri
10031947532846004345
10031947532846004345
Yes
Department of Orthopaedic Surgery, Rasoul Akram Hospital, Iran university of Medical Sciences, Tehran, Iran.