Search

Introduction: a dynamic system for fixation of distal tibiofibular articulation damages in recent times cut a swath among experts in traumatology and orthopedicsarea since at a high frequency of occurrence of such damage its classical static fixation by position screw has a number of disadvantages with consequent complica-tions. A dynamic fixation provides physiologic micromotion intercostal articulation with maintenance of adequate repositioning that assumes its advantage over static fixation.a e-mail: Fedor_lazko@mail.rub e-mail: Semeonoff.aleks2011@yandex.ruc e-mail: Okneller90@gmail.comd e-mail: Ramidisser@mail.rue e-mail: Dr.Romanov67@mail.ruf e-mail: Pauldemon94@gmail.comstudy purpose: comparison of clinical and radiological results of static and dynamic fixation methods of the distal tibiofibular articulation instability.Methods: Was carried out an effectiveness analysis of treatment of 42 patients having B and C-types malleolar fractures according to AO/ASIF classification withtibiofibular syndesmosis damage, in settings of the traumatology and orthopedic department of the State Clinical Hospital No. 67 named after Vorokhobov duringthe period from 2016 to 2018. Patients were divided into two groups depending on the type of syndesmosis fixation: 21 patients were included into dynamic fixation group and 21 patients were included into static fixation group. Control examinations were carried out at 1.5; 3; 6 and 12 months after surgery. The average follow-up period was 12 months. Clinical and x-ray methods were used, scores questionnaires were filled in (AOFAS, FADI, OMAS).study results: evaluation of the obtained data showed that tendency to better clinical and radiologic results is reported in the dynamic fixation group.Conclusion: the dynamic fixation of distal tibiofibular articulation damages is a good alternative to its classical static fixation by position screw.