Introduction. Ankle joint fractures are one of the most common injuries dealt
with by orthopedic surgeons. Objective. To determine to what extent do
diagnostics, estimation and choice of treatment of tibiofibular syndesmosis
injuries affect the final clinical result. Patients and Methods. The study
represents retrospective-prospective analysis of the data obtained from 102
patients treated for ankle injury due to malleolar ankle joint fractures and
tibiofibular syndesmosis at the Clinic of Traumatology. The average value of
monitoring was 61.62 months. According to the Danis-Weber classification, C1
fracture was present in 77 respondents (75.49%); C2 in 23 (22.5%); and C3
fracture in 2 respondents (1.96%). The Danis-Weber classification was used in
this paper and hence we divided 102 patients with type C fractures according
to the above mentioned classification. The first group (G1) was consisted of
48 (47%) patients who had undergone the syndesmotic screw fixation during the
surgery treatment of fracture stabilization. The second group (G2) was
consisted of 54 (53%) patients who did not require the syndesmotic screw
fixation during the surgery treatment of fracture stabilization. The
syndesmotic screw was placed in cases of: supra-syndesmotic fractures of the
fibula associated with rupture of the deltoid ligament and fracture types
according to the Topliss A and B. Three, six and twelve months after the
surgery, the clinical results were examined using the American Orthopaedic
Foot and Ankle Society scoring scale. Discussion. All acute unstable injuries
should be treated surgically, which includes the deltoid ligament repair,
open reduction and internal fixation of the injured syndesmosis. This is
considered to be the best way to avoid unwanted complications. Conclusion.
There was no significant difference in the final results of treatment between
patients from the group G1, where the syndesmotic screw fixation was
performed, and patients from the group G2, where the syndesmotic screw
fixation was not performed.