High-Energy Transsyndesmotic Ankle Fracture Dislocation: A Case Report and Systematic Literature Review

Table 2

Treatment applied to high-energy transsyndesmotic ankle fracture dislocation in published reports.

Publication	Syndesmosis fixation (N/total N [% of total N])	Tibial plafond fixation, N/total N (% of total N)	Medial malleolus fixation, N/total N (% of total N)	Other treatments applied
Wang et al. [1]	(i) No syndesmotic screw (12/41 [29.3%]); (ii) One syndesmotic screw (10/41 [24.4%]); (iii) Two syndesmotic screws (17/41 [34.1%]); (iv) Three syndesmotic screws (2/41 [4.9%])	Not indicated	27/41 (65.9%)	(i) Weight-bearing restrictions; (ii) Dorsal expansion and plantarflexion starting 2–3 weeks posttreatment
Bible et al. [2]	(i) One syndesmotic screw (4/23 [17.4%]); (ii) Two syndesmotic screws (15/23 [65.2%]); (iii) Three syndesmotic screws (2/23 [8.7%])	8/23 (34.8%)	23/23 (100%)	(i) Ankle immobilization (no further details); (ii) Weight-bearing restriction (no further details)