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

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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
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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.
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