Reproducible and Reliable Method for Syndesmotic Screw Fixation: An MRI-Based Cross-Sectional Image Analysis

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dc.contributor.authorSargin, Serdar
dc.contributor.authorAtik, Aziz
dc.contributor.authorUlusal, Ali Engin
dc.contributor.authorAslan, Ahmet
dc.contributor.authorKulunk, Mert Ismail
dc.date.accessioned2026-01-24T12:31:22Z
dc.date.available2026-01-24T12:31:22Z
dc.date.issued2022
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractAnkle arthrosis may be an unexpected potential result in syndesmotic injuries because of instability and malreduction. For anatomical reduction and stabilization, a reliable and stable reference point is crucial to correctly place syndesmotic screw. The aim of this study was to determine a reliable reference point and to quantify the ideal angle for placement of the screw. In this prospective cohort study, 99 healthy volunteers underwent right ankle magnetic resonance (MR) imaging. On the axial sections, the ideal axis of the syndesmotic screw and other reference points were depicted with 4 lines and 2 angles which were evaluated at the level 2 cm above the tibial plafond. Values were recorded by 2 independent observers to assess for interobserver reliability. The mean value of syndesmotic screw position according to the ground line was 28 degrees +/- 6.4 degrees like Arbeitsgemeinschaft fur Osteosynthesefragen suggestion. Furthermore, it was determined that the syndesmotic screw could be placed more precisely in the position when placed at an angle of 26.2 degrees +/- 1.1 degrees with the axis perpendicular to the line passing through the anterior tibial and Achilles tendons. Ideal syndesmotic screw positioning must be stable enough in case not to be affected by lower extremity alignment deficiencies or foot deformities. So, the anterior tibial and Achilles tendons can be used as reproducible and reliable landmarks for the placement of syndesmotic screws. (C) 2021 by the American College of Foot and Ankle Surgeons. All rights reserved.
dc.identifier.doi10.1053/j.jfas.2021.11.025
dc.identifier.endpage826
dc.identifier.issn1067-2516
dc.identifier.issn1542-2224
dc.identifier.issue4
dc.identifier.pmid34973865
dc.identifier.scopus2-s2.0-85121984049
dc.identifier.scopusqualityQ2
dc.identifier.startpage821
dc.identifier.urihttps://doi.org/10.1053/j.jfas.2021.11.025
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5834
dc.identifier.volume61
dc.identifier.wosWOS:000835342300027
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal of Foot & Ankle Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectAchilles tendon
dc.subjectangle
dc.subjectanterior tibial tendon
dc.subjectscrew
dc.subjectsyndesmotic
dc.titleReproducible and Reliable Method for Syndesmotic Screw Fixation: An MRI-Based Cross-Sectional Image Analysis
dc.typeArticle

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