Evidence-Based Orthopaedics   |    
Tricortical Screws Were as Effective as Quadricortical Screws in Ankle Fractures at 1 Year

View Disclosures and Other Information
Source of funding: Not stated.
For correspondence: Dr. P. Høiness, Ullevaal University Hospital, N-04707 Oslo, Norway. E-mail: per.hoiness@uus.no
Høiness P, Strømsøe K. Tricortical Versus Quadricortical Syndesmosis Fixation in Ankle Fractures. A Prospective, Randomized Study Comparing Two Methods of Syndesmosis Fixation.
J Orthop Trauma.
2004 Jul;18: 331-7.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Feb 01;87(2):465-465
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Question: In patients with ankle fracture, is fixation of the syndesmosis with the use of two 3.5-mm cortical screws through 1 cortex of the tibia as effective as the use of one 4.5-mm cortical screw through both tibial cortices?Design: Randomized (unclear allocation concealment), unblinded, controlled study with 3 and 12-month follow-up.Setting: A university hospital in Oslo, Norway.Patients: 64 patients (mean age, 42 y; 50% women) who had AO type-C fractures, pathologic widening of >2 mm of the syndesmosis at intraoperative testing with a hook after fixation of the fractures, or both. Follow-up was 97% at 3 months and 100% at 12 months.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    Illinois - Hinsdale Orthopaedics
    Connecticut - Yale University School of Medicine
    Oregon - The Center - Orthopedic and Neurosurgical Care and Research