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VOL. 7, ISSUE 1 (2025)
Meta-analysis of syndesmotic fractures: Rigid vs. Flexible fixation
Authors
Dr. Rakesh Sehrawat, Dr. Abhay Meena, Dr. Koyala Akhilesh, Dr. Lokesh Goyal
Abstract
Syndesmotic fractures, commonly referred to as
"high ankle sprains," present significant challenges in orthopedic
management due to their potential for long-term complications if not treated
effectively. This meta-analysis systematically evaluates the outcomes of rigid
versus flexible fixation techniques in treating syndesmotic fractures, focusing
on union rates, functional recovery, and complication rates. A thorough
literature search identified relevant studies, and data were pooled using
random-effects models. The findings indicate that rigid fixation offers higher
union rates (95%) and superior functional outcomes (mean AOFAS score of 88)
compared to flexible fixation (union rate of 89%, mean AOFAS score of 83).
However, rigid fixation is associated with a higher complication rate (15% vs.
5% for flexible fixation). The analysis emphasizes the importance of
individualizing treatment based on patient-specific factors, such as age and
activity level, while advocating for continued research into hybrid techniques
that may optimize outcomes.
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Pages:34-39
How to cite this article:
Dr. Rakesh Sehrawat, Dr. Abhay Meena, Dr. Koyala Akhilesh, Dr. Lokesh Goyal "Meta-analysis of syndesmotic fractures: Rigid vs. Flexible fixation". International Journal of Orthopaedics Research, Vol 7, Issue 1, 2025, Pages 34-39
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