Assesment of the Degree of Traumatic Lesions of Syndesmosis in the Functions of the Ankle Joint

Introduction: An ankle joint is a modified hinged joint consisted of three bones and ligaments. Muscles that result in plantar, that is, dorsal flexion, work through this functional unit. Aim of the Study: The aim of the paper is to analyze injuries of supra-syndesmotic fractures of the fibula, which were treated operatively with or without syndesmotic screw as well as to evaluate clinical results of the treatment after 3, 6 and 12 months. Patients and Methods: A retrospective-prospective study consisted of 102 respondents treated at the Clinic for Orthopedics and Traumatology UCC Sarajevo. Patients were divided into two groups. The first group (G1) consisted of 48 (47%) respondents who had met the required criteria – placement of a syndesmotic screw during the operation, and the second group (G2) consisted of 52 (53%) respondents who did not have a syndesmotic screw inserted during the operation. Results: The average value of the AOFAS score after 12 months in the group G1 was 91.15 points. The average value of the AOFAS score in the group G2 was 89.15 points. The value of the T-test was 1.688, p = 0.095 (p> 0.05). There was no significant difference in the average AOFAS score between the G1 and G2 respondents. Conclusion: The results obtained in the study confirm that there is no significant difference in the final outcome of the treatment between the G1 and G2 respondents. There is no significant difference in duration of treatment and hospitalization between groups G1 and G2. Significantly better average values regarding mobility for patients in the group G2 during the check-ups 3 and 6 months after the surgical procedure were transient.