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.