Syndesmotic screw
Syndesmotic screw is a type of orthopedic hardware used in the treatment of ankle injuries, specifically those involving damage to the syndesmosis. The syndesmosis is a fibrous joint that connects the two bones of the lower leg, the tibia and fibula, and helps to stabilize the ankle joint.
Indications
Syndesmotic screws are used in the treatment of ankle fractures that involve injury to the syndesmosis. This can occur in isolation or in conjunction with fractures of the tibia and/or fibula. The goal of treatment with a syndesmotic screw is to restore the normal relationship between the tibia and fibula and to stabilize the ankle joint.
Procedure
The procedure to insert a syndesmotic screw is typically performed under general anesthesia. A small incision is made over the site of the syndesmosis and the screw is inserted through the fibula and into the tibia. The screw is usually left in place for a period of time to allow the syndesmosis to heal, after which it may be removed in a separate procedure.
Complications
As with any surgical procedure, there are potential complications associated with the use of syndesmotic screws. These can include infection, damage to surrounding structures, and failure of the screw to properly stabilize the syndesmosis. In some cases, the screw may need to be removed earlier than planned due to discomfort or other issues.
See also
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Contributors: Prab R. Tumpati, MD