Functional outcome of fusion versus ligament reconstruction in patients with a syndesmosis injury: A narrative review.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 34195011.
- Also identified by DOI 10.1016/j.asmart.2021.05.002 and PMC identifier 8215136.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Injury to distal tibiofibular syndesmosis is commonly associated with ankle fractures. The surgical treatment especially in isolated chronic syndesmosis instability is still debated. This article has reviewed literature identified from PubMed, EMBASE and Cochrane from year 2000 onwards and compared the functional outcomes between syndesmosis fusion and ligament reconstruction based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eighteen studies were included. All the included papers described a good-to-excellent post-operative functional outcome without major complications. No significant difference between the two surgical interventions could be concluded. Further studies of better quality shall be conducted in the future.