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. 2020 Aug 7;99(32):e21679.
doi: 10.1097/MD.0000000000021679.

Comparison of suture-button and screw fixation in the treatment of ankle syndesmotic injuries: Cohort study protocol

Xiaoning Liu  1 , Guang Jin  2 , Chengdong Piao  1 , Zhuan Zhong  1 , Fei Chang  1 , Bingzhe Huang  1
Affiliations

Comparison of suture-button and screw fixation in the treatment of ankle syndesmotic injuries: Cohort study protocol

Xiaoning Liu et al. Medicine (Baltimore). .

Expression of concern in

  • Expression of Concern: Study Protocols.
    [No authors listed] [No authors listed] Medicine (Baltimore). 2025 Nov 7;104(45):e46330. doi: 10.1097/MD.0000000000046330. Medicine (Baltimore). 2025. PMID: 41204616 Free PMC article. No abstract available.

Abstract

Background: Syndesmotic injuries account for a significant number of ankle injuries. There is no consensus regarding the recommended method of treatment. The purpose of this study was to evaluate: METHODS:: This study was performed and reported in accordance with the Strengthening the Reporting of Observational studies in Epidemiology checklist. The records of 200 patients with ankle fractures who had undergone surgical treatment in our clinics between January 2014 and January 2018 were retrospectively investigated. This retrospective cohort study was approved by the institutional review board in the 2nd Hospital of Jilin University. The primary outcome measure was the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale and the Foot Function Index. Secondary outcome measures included visual analog scale score, complications, range of movement of ankle, reoperations, and radiologic outcomes. For statistical comparison of the clinical and radiologic findings between the 2 groups, we used SPSS, version 21.0 (SPSS, Chicago, IL), statistical software. P Values of < .05 were considered statistically significant.

Conclusion: The hypothesis was that the SB technique would achieve better functional outcomes as compared to the syndesmotic screw technique after surgery.

Trial registration: This study protocol was registered in Research Registry (researchregistry5793).

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

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