{"id":5626,"date":"2025-01-20T13:07:17","date_gmt":"2025-01-20T12:07:17","guid":{"rendered":"https:\/\/preview.centre-assal.ch\/?p=5626"},"modified":"2025-09-02T11:24:41","modified_gmt":"2025-09-02T09:24:41","slug":"long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability","status":"publish","type":"publications","link":"https:\/\/centre-assal.ch\/en\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/","title":{"rendered":"Long-term Clinical Outcomes After Syndesmosis Fixation With K-wires in Ankle Fractures With Syndesmotic Instability"},"content":{"rendered":"<p><strong>Background:<\/strong>\u00a0Syndesmotic instability is a significant concern in the management of unstable ankle fractures, occurring<br \/>\nin approximately 10% to 13% of these cases. Early recognition and stabilization of syndesmotic injuries are essential to<br \/>\nensure optimal long-term outcomes. Several techniques are currently in use, often involving complex procedure and\/or<br \/>\ncostly devices. Our study presents a syndesmosis fixation technique using K-wires that is both simple and cost-effective.<\/p>\n<p><strong>Methods:<\/strong>\u00a0This is a retrospective single-center case series. Three hundred seventy-seven ankle fractures with intraoperative<br \/>\nsyndesmosis instability and subsequent syndesmosis fixation with a K-wire were treated between 2002 and 2012. Of the<br \/>\n377 patients, 51 died and we were able to obtain long-term questionnaire completions from 94 patients (29% of presumed<br \/>\nliving patients), with a mean follow-up of 10.6 \u00b1 3.0 years.<\/p>\n<p><strong>Results:<\/strong>\u00a0The mean age was 46.6 \u00b1 18.5 years; 42% were Danis-Weber type B and 58% type C fractures. Syndesmosis<br \/>\nfixation failure was observed in 9 (2%) patients, and 5 (1%) patients had K-wire displacement without loss of syndesmosis<br \/>\nreduction. The Manchester-Oxford Foot Questionnaire (MOXFQ) was obtained 10\u00b13 years after surgery. The mean<br \/>\nMOXFQ pain score was 25.9 \u00b1 25.4, the mean functional score was 18 \u00b1 24.8, and the mean social score was 13.7 \u00b1 22.2.<\/p>\n<p><strong>Conclusion:<\/strong>\u00a0We report long-term (10.6 \u00b1 3 years) functional outcomes using a validated patient-reported questionnaire<br \/>\nin patients who underwent syndesmosis fixation with 2 K-wires for unstable ankle fractures. In the subset of patients we<br \/>\nwere able to find in follow-up, we found low rates of syndesmosis fixation failure, low pain scores, and excellent functional<br \/>\noutcomes. The availability and low cost of these implants make this technique an accessible and cost-effective solution to<br \/>\nconsider for syndesmosis fixation.<\/p>\n<p><strong>Level of Evidence:<\/strong>\u00a0Level IV, retrospective case series.<\/p>","protected":false},"featured_media":0,"template":"","categorie_publications":[89],"class_list":["post-5626","publications","type-publications","status-publish","hentry","categorie_publications-article-scientifique"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Long-term Clinical Outcomes After Syndesmosis Fixation With K-wires in Ankle Fractures With Syndesmotic Instability - Centre Assal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centre-assal.ch\/en\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Long-term Clinical Outcomes After Syndesmosis Fixation With K-wires in Ankle Fractures With Syndesmotic Instability - Centre Assal\" \/>\n<meta property=\"og:description\" content=\"Background:\u00a0Syndesmotic instability is a significant concern in the management of unstable ankle fractures, occurring in approximately 10% to 13% of these cases. Early recognition and stabilization of syndesmotic injuries are essential to ensure optimal long-term outcomes. Several techniques are currently in use, often involving complex procedure and\/or costly devices. Our study presents a syndesmosis fixation [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/centre-assal.ch\/en\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/\" \/>\n<meta property=\"og:site_name\" content=\"Centre Assal\" \/>\n<meta property=\"article:modified_time\" content=\"2025-09-02T09:24:41+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/centre-assal.ch\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/\",\"url\":\"https:\/\/centre-assal.ch\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/\",\"name\":\"Long-term Clinical Outcomes After Syndesmosis Fixation With K-wires in Ankle Fractures With Syndesmotic Instability - Centre Assal\",\"isPartOf\":{\"@id\":\"https:\/\/centre-assal.ch\/#website\"},\"datePublished\":\"2025-01-20T12:07:17+00:00\",\"dateModified\":\"2025-09-02T09:24:41+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/centre-assal.ch\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/centre-assal.ch\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/centre-assal.ch\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/centre-assal.ch\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Long-term Clinical Outcomes After Syndesmosis Fixation With K-wires in Ankle Fractures With Syndesmotic Instability\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/centre-assal.ch\/#website\",\"url\":\"https:\/\/centre-assal.ch\/\",\"name\":\"Centre Assal\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/centre-assal.ch\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/centre-assal.ch\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/centre-assal.ch\/#organization\",\"name\":\"Centre Assal\",\"url\":\"https:\/\/centre-assal.ch\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/centre-assal.ch\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/centre-assal.ch\/wp-content\/uploads\/2025\/03\/Logo_CentreAssal_RVB-11.png\",\"contentUrl\":\"https:\/\/centre-assal.ch\/wp-content\/uploads\/2025\/03\/Logo_CentreAssal_RVB-11.png\",\"width\":220,\"height\":114,\"caption\":\"Centre Assal\"},\"image\":{\"@id\":\"https:\/\/centre-assal.ch\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.instagram.com\/centre_assal\/\",\"https:\/\/www.linkedin.com\/company\/centre-assal\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Long-term Clinical Outcomes After Syndesmosis Fixation With K-wires in Ankle Fractures With Syndesmotic Instability - Centre Assal","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/centre-assal.ch\/en\/publications\/long-term-clinical-outcomes-after-syndesmosis-fixation-with-k-wires-in-ankle-fractures-with-syndesmotic-instability\/","og_locale":"en_GB","og_type":"article","og_title":"Long-term Clinical Outcomes After Syndesmosis Fixation With K-wires in Ankle Fractures With Syndesmotic Instability - Centre Assal","og_description":"Background:\u00a0Syndesmotic instability is a significant concern in the management of unstable ankle fractures, occurring in approximately 10% to 13% of these cases. 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