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        (
            [0] => Comparative study for surgical treatment of acute distal tibiofibular syndesmotic lesions using the modified suture button fixation versus static syndesmotic screw fixation
        )

    [etablissement] => Array
        (
            [0] => Orthopedics and traumatology department. Hospital of Mohamed Taher Maamouri. Nabeul
        )

    [nom] => Array
        (
            [0] => Jlidi
        )

    [prenom] => Array
        (
            [0] => Mohamed
        )

    [email] => Array
        (
            [0] => medjlidi@hotmail.fr
        )

    [telephone] => Array
        (
            [0] => 29030521
        )

    [auteurs] => Array
        (
            [0] => 
 
Nom prénom: Walid Bouaicha
Email: walid_bouaicha@yahoo.fr
Hôpital: Hospital of Mohamed Taher Maamouri

 
Nom prénom: Imen Belkadhi
Email: imen123belkadhi@gmail.com
Hôpital: Hospital of Mohamed Taher Maamouri

 
Nom prénom: Selim Daas
Email: selimdaas@yahoo.fr
Hôpital: Hospital of Mohamed Taher Maamouri

 
Nom prénom: Elyes Zoghlami
Email: zelyes46@gmail.com
Hôpital: Hospital of Mohamed Taher Maamouri

 
Nom prénom: Mouldi Lamouchi
Email: hmouldi92@gmail.com
Hôpital: Hospital of Mohamed Taher Maamouri

 
Nom prénom: Adel Khorbi
Email: adelkhorbi@yahoo.fr
Hôpital: Hospital of Mohamed Taher Maamouri

        )

    [mots_cles] => Array
        (
            [0] => Acute syndesmotic lesion;
Dynamic fixation;
Suture button;
syndesmotic screw;
Functional results;
Radiological results;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
        )

    [forme] => Array
        (
            [0] => none
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    [abstract] => Array
        (
            [0] => https://www.sotcot.tn/wp-content/uploads/gravity_forms/1-734bfe19ec36a1528718899bf7a2927f/2024/03/abstract.docx
        )

    [user_email] => Array
        (
            [0] => medjlidi@hotmail.fr
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction:
Several techniques to treat acute distal tibiofibular instability are described consisting in static and dynamic fixation procedures.
 The aim of our work is to compare the functional and radiological outcomes of the treatment of acute syndesmotic injuries between the modified technique of dynamic fixation using the suture button principle and the static fixation using screws.
Methods:
It is a prospective study including patients with acute syndesmotic injury.
After fracture fixation, residual syndesmotic instability was managed using syndesmotic screw in group A and dynamic fixation with a double Ethibond® suture in group B.
Functional results were assessed using the American Orthopedic Foot and Ankle Society (AOFAS) score. 
Radiological evaluation was done by a postoperative CT scan of both ankles and plain x-rays of the ankle after surgery and at 18 months.
Results:
Group A included 20 patients. Their average age was 42.1 years (range from 27 to 62), with male predominance. Bimalleolar fracture was the most predominant injury. 
Group B included 35 patients. The average age was 45.86 years (range from 18 to 86) with male predominance (62.85%). The bimalleolar fracture was found in 60% of the cases. 
The reduction was satisfactory in the two groups according to the post-operative CT scan measurements.
Patients in group B had better scores and ankle range of motion than those in group A. The difference was statistically significant.
The mean healing time in group A was 49.65 days and 51.49 days in group B (p= 0.45). At the last follow-up, we didn’t find any significant difference in terms of loss of reduction in the two groups.
For group A, we didn’t note any early complications. However, seven patients have skin complications (20%) in group B. The difference was significant (p=0.03). However, no significant difference was found between the two groups in terms of late complications.
Conclusions:
The modified dynamic suture button fixation remains a therapeutic alternative in low incomes countries that could achieve better functional and radiological outcomes than static fixation, with easy postoperative follow-up and no need for hardware removal.
        )

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            [0] => 18
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            [0] => 16
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            [0] => 16
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