Surgical Fixation Techniques for Syndesmosis Injuries: Suture Button vs. Syndesmotic Screw (ptinquest.libsyn.com)

• Meta-analysis of 8 RCTs comparing suture button vs. syndesmotic screw
• Dynamic fixation yields similar outcomes, fewer implant failures
• Debates the role of movement in syndesmosis fixation

"This PT Inquest episode explores syndesmosis injury fixation, questioning whether the fixation should allow some movement. A meta-analysis by Shimozono et al. (2018) comparing suture button (dynamic) vs. syndesmotic screw (rigid) suggests dynamic fixation may permit faster return to function and reduce complications like screw breakage. The episode discusses clinical implications for rehabilitation decision-making."