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March 2, 2026The Bone & Joint Journal

Suture button compared with ventral augmentation in unstable syndesmotic injuries

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Authors

ASA. ScheuerFSF T SpindlerWBWolfgang Böcker

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Overview

Retrospective analysis compares malreduction rates in syndesmotic injuries using two stabilization techniques, suggesting similar effectiveness.

Key Points

  • This study aims to assess and compare the distal tibiofibular joint malreduction rates between ventral augmentation and suture button methods in two-ligament syndesmotic injuries.
  • Retrospective radiological analysis of patients with ankle fractures and two-ligament syndesmotic injuries.
  • Comparison of outcomes between a single suture button and ventral augmentation stabilization techniques.
  • Assessment of distal tibiofibular joint reduction quality using postoperative CT images.
  • Sample populations included 45 patients in the suture button group and 78 in the ventral augmentation group.
  • Malreduction rates were 16% for the suture button group and 21% for the ventral augmentation group (p = 0.497).
  • No significant differences in demographics and injuries were found between groups.
  • Direction of malreduction showed no significant differences (p = 0.063).
  • Results were consistent in propensity score-matched analysis (n = 41 per group).

Cite This Study

Scheuer et al. (2026) studied this question.

synapsesocial.com/papers/69a528b3f1e85e5c73bf02aehttps://doi.org/10.1302/0301-620x.108b3.bjj-2025-0477.r1
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