Comparing the efficiency of treatment in cases of distal tibiofibular syndesmosis with the use of position screw and button fixator (literature review)

TOver the last years in foreign literature a significant interest has been caused by using dynamic button-based system for the fixation of impairments in the distal tibiofibular syndesmosis, for it provides a number of advantages and allows for gaining better results comparing to conventional using the position screw. The present review is devoted to comparing the efficiency of dynamic button fixation and the conventional static fixation by position screw in cases of lesions in the distal tibiofibular syndesmosis with unstable bone fractures located in the area of the talocrural joint. An evaluation was performed for the functional parameters, post-surgery complications, rates of developing secondary displacements in the syndesmosis are and of the cases of repeated surgery.The data from the conducted studies mentioned in the present review show that dynamic fixation in cases of impairments in the tibiofibular syndesmosis with the use of button fixator is a good alternative to static fixation using the position screw, for it allows for decreasing the rates of developing complications and repeated surgeries, for achieving good stabilization of the syndesmosis with a lower rate of developing implant breakage and of recurrences of disruption in the syndesmosis area, as well as it promotes to faster rehabilitation of the patients.