{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T10:34:15Z","timestamp":1793183655326,"version":"4.5.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T00:00:00Z","timestamp":1726012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T00:00:00Z","timestamp":1726012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"DOI":"10.1007\/s00402-024-05535-8","type":"journal-article","created":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T11:09:18Z","timestamp":1726052958000},"page":"4355-4363","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Differences in gait analysis and clinical outcome after dynamic fixation or screw fixation in acute syndesmosis tear: a prospective randomized pilot study"],"prefix":"10.1007","volume":"144","clinical-trial-number":[{"clinical-trial-number":"drks00013562","registry":"10.18810\/drks"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6468-2931","authenticated-orcid":false,"given":"Paul","family":"Mick","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8563-3493","authenticated-orcid":false,"given":"Julian","family":"Doll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8360-6426","authenticated-orcid":false,"given":"Michelle","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Schmidmaier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Renkawitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Campos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian I.","family":"Wolf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0547-4630","authenticated-orcid":false,"given":"Stefanos","family":"Tsitlakidis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,11]]},"reference":[{"issue":"4","key":"5535_CR1","first-page":"560","volume":"52","author":"R Baker","year":"2016","unstructured":"Baker R, Esquenazi A, Benedetti MG, Desloovere K (2016) Gait analysis: clinical facts. Eur J Phys Rehabil Med 52(4):560\u2013574","journal-title":"Eur J Phys Rehabil Med"},{"key":"5535_CR2","first-page":"1","volume-title":"Handbook of human motion","author":"R Baker","year":"2017","unstructured":"Baker R, Leboeuf F, Reay J, Sangeux M (2017) The Conventional gait model\u202f: the success and limitations. Handbook of human motion. Springer, Cham, pp 1\u201319"},{"issue":"5","key":"5535_CR3","first-page":"242","volume":"39","author":"E Bava","year":"2010","unstructured":"Bava E, Charlton T, Thordarson D (2010) Ankle fracture syndesmosis fixation and management: the current practice of orthopedic surgeons. Am J Orthop (Belle Mead NJ) 39(5):242\u2013246","journal-title":"Am J Orthop (Belle Mead NJ)"},{"issue":"1","key":"5535_CR4","doi-asserted-by":"publisher","first-page":"131","DOI":"10.2214\/ajr.182.1.1820131","volume":"182","author":"KW Brown","year":"2004","unstructured":"Brown KW, Morrison WB, Schweitzer ME, Parellada JA, Nothnagel H (2004) MRI findings associated with distal tibiofibular syndesmosis injury. AJR Am J Roentgenol 182(1):131\u2013136","journal-title":"AJR Am J Roentgenol"},{"issue":"5","key":"5535_CR5","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/0167-9457(91)90046-Z","volume":"10","author":"RBI Davis","year":"1991","unstructured":"Davis RBI, Ounpuu S, Tyburski D, Gage JR (1991) A gait analysis data collection and reduction technique. Hum Mov Sci 10(5):575\u2013588","journal-title":"Hum Mov Sci"},{"issue":"6","key":"5535_CR6","volume":"13","author":"O Desouky","year":"2021","unstructured":"Desouky O, Elseby A, Ghalab AH (2021) Removal of syndesmotic screw after fixation in ankle fractures: a systematic review. Cureus 13(6):e15435","journal-title":"Cureus"},{"issue":"24","key":"5535_CR7","doi-asserted-by":"publisher","first-page":"1908","DOI":"10.1097\/BRS.0000000000002298","volume":"42","author":"MJ Diaz-Arribas","year":"2017","unstructured":"Diaz-Arribas MJ, Fernandez-Serrano M, Royuela A et al (2017) Minimal clinically important difference in quality of life for patients with low back pain. Spine (Phila Pa 1976) 42(24):1908\u20131916","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"5535_CR8","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1186\/s13063-020-04550-5","volume":"21","author":"J Doll","year":"2020","unstructured":"Doll J, Waizenegger S, Bruckner T, Schmidmaier G, Wolf SI, Fischer C (2020) Differences in gait analysis and clinical outcome after TightRope\u00ae or screw fixation in acute syndesmosis rupture: study protocol for a prospective randomized pilot study. Trials 21(1):606","journal-title":"Trials"},{"issue":"5","key":"5535_CR9","doi-asserted-by":"publisher","first-page":"998","DOI":"10.1053\/j.jfas.2020.09.021","volume":"60","author":"A Elabd","year":"2021","unstructured":"Elabd A, Abdullah S, Kandel W, Hegazy M (2021) Syndesmotic stabilization: syndesmotic screw versus flexible fixation: a systematic review. J Foot Ankle Surg 60(5):998\u20131007","journal-title":"J Foot Ankle Surg"},{"issue":"10","key":"5535_CR10","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1177\/107110070602701005","volume":"27","author":"MJ Gardner","year":"2006","unstructured":"Gardner MJ, Demetrakopoulos D, Briggs SM, Helfet DL, Lorich DG (2006) Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int 27(10):788\u2013792","journal-title":"Foot Ankle Int"},{"key":"5535_CR11","doi-asserted-by":"crossref","unstructured":"Hodgson S (2009) AO Principles of Fracture Management Ann R Coll Surg Engl. Copyright\u00a9 2009 by the Annals of The Royal College of Surgeons of England, pp 448\u2013449","DOI":"10.1308\/rcsann.2009.91.5.448b"},{"issue":"3","key":"5535_CR12","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s00264-010-1147-9","volume":"35","author":"YT Hsu","year":"2011","unstructured":"Hsu YT, Wu CC, Lee WC, Fan KF, Tseng IC, Lee PC (2011) Surgical treatment of syndesmotic diastasis: emphasis on effect of syndesmotic screw on ankle function. Int Orthop 35(3):359\u2013364","journal-title":"Int Orthop"},{"issue":"3","key":"5535_CR13","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1002\/jor.1100080310","volume":"8","author":"MP Kadaba","year":"1990","unstructured":"Kadaba MP, Ramakrishnan HK, Wootten ME (1990) Measurement of lower extremity kinematics during level walking. J Orthop Res 8(3):383\u2013392","journal-title":"J Orthop Res"},{"key":"5535_CR14","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2021.101776","volume":"49","author":"A Khurana","year":"2021","unstructured":"Khurana A, Kumar A, Katekar S et al (2021) Is routine removal of syndesmotic screw justified? A meta-analysis. Foot (Edinb) 49:101776","journal-title":"Foot (Edinb)"},{"issue":"1","key":"5535_CR15","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3113\/FAI.2010.0069","volume":"31","author":"R Klitzman","year":"2010","unstructured":"Klitzman R, Zhao H, Zhang LQ, Strohmeyer G, Vora A (2010) Suture-button versus screw fixation of the syndesmosis: a biomechanical analysis. Foot Ankle Int 31(1):69\u201375","journal-title":"Foot Ankle Int"},{"issue":"12","key":"5535_CR16","doi-asserted-by":"publisher","first-page":"1317","DOI":"10.1177\/1071100716661221","volume":"37","author":"O Kocadal","year":"2016","unstructured":"Kocadal O, Yucel M, Pepe M, Aksahin E, Aktekin CN (2016) Evaluation of reduction accuracy of suture-button and screw fixation techniques for syndesmotic injuries. Foot Ankle Int 37(12):1317\u20131325","journal-title":"Foot Ankle Int"},{"issue":"6","key":"5535_CR17","doi-asserted-by":"publisher","first-page":"1119","DOI":"10.1016\/j.injury.2015.02.004","volume":"46","author":"T Kortekangas","year":"2015","unstructured":"Kortekangas T, Savola O, Flinkkil\u00e4 T et al (2015) A prospective randomised study comparing TightRope and syndesmotic screw fixation for accuracy and maintenance of syndesmotic reduction assessed with bilateral computed tomography. Injury 46(6):1119\u20131126","journal-title":"Injury"},{"issue":"5","key":"5535_CR18","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1097\/BOT.0000000000000245","volume":"29","author":"M Laflamme","year":"2015","unstructured":"Laflamme M, Belzile EL, B\u00e9dard L, van den Bekerom MP, Glazebrook M, Pelet S (2015) A prospective randomized multicenter trial comparing clinical outcomes of patients treated surgically with a static or dynamic implant for acute ankle syndesmosis rupture. J Orthop Trauma 29(5):216\u2013223","journal-title":"J Orthop Trauma"},{"issue":"4","key":"5535_CR19","doi-asserted-by":"publisher","first-page":"490","DOI":"10.2106\/00004623-198466040-00002","volume":"66","author":"HC Leeds","year":"1984","unstructured":"Leeds HC, Ehrlich MG (1984) Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. J Bone Jt Surg Am 66(4):490\u2013503","journal-title":"J Bone Jt Surg Am"},{"issue":"10","key":"5535_CR20","doi-asserted-by":"publisher","first-page":"3143","DOI":"10.1016\/j.injury.2021.06.025","volume":"52","author":"R Lehtola","year":"2021","unstructured":"Lehtola R, Leskel\u00e4 HV, Flinkkil\u00e4 T et al (2021) Suture button versus syndesmosis screw fixation in pronation-external rotation ankle fractures: a minimum 6-year follow-up of a randomised controlled trial. Injury 52(10):3143\u20133149","journal-title":"Injury"},{"key":"5535_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3109\/ort.1981.52.suppl-189.01","volume":"189","author":"U Lindsj\u00f6","year":"1981","unstructured":"Lindsj\u00f6 U (1981) Operative treatment of ankle fractures. Acta Orthop Scand Suppl 189:1\u2013131","journal-title":"Acta Orthop Scand Suppl"},{"issue":"5","key":"5535_CR22","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1053\/j.jfas.2018.12.006","volume":"58","author":"AC McKenzie","year":"2019","unstructured":"McKenzie AC, Hesselholt KE, Larsen MS, Schmal H (2019) A Systematic review and meta-analysis on treatment of ankle fractures with syndesmotic rupture: suture-button fixation versus cortical screw fixation. J Foot Ankle Surg 58(5):946\u2013953","journal-title":"J Foot Ankle Surg"},{"key":"5535_CR23","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1007\/s10039-001-0518-2","volume":"3","author":"U Ochs","year":"2001","unstructured":"Ochs U, Winter E, Weise K (2001) Malleolenfrakturen. Trauma Berufskrankh 3:338\u2013343","journal-title":"Trauma Berufskrankh"},{"issue":"3","key":"5535_CR24","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1055\/a-0873-1557","volume":"158","author":"K Oppelt","year":"2020","unstructured":"Oppelt K, Hogan A, Stief F, Gr\u00fctzner PA, Trinler U (2020) Movement analysis in orthopedics and trauma surgery: measurement systems and clinical applications. Z Orthop Unfall 158(3):304\u2013317","journal-title":"Z Orthop Unfall"},{"issue":"3","key":"5535_CR25","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1080\/10255842.2010.527837","volume":"15","author":"TC Pataky","year":"2012","unstructured":"Pataky TC (2012) One-dimensional statistical parametric mapping in Python. Comput Methods Biomech Biomed Engin 15(3):295\u2013301","journal-title":"Comput Methods Biomech Biomed Engin"},{"issue":"14","key":"5535_CR26","doi-asserted-by":"publisher","first-page":"2394","DOI":"10.1016\/j.jbiomech.2013.07.031","volume":"46","author":"TC Pataky","year":"2013","unstructured":"Pataky TC, Robinson MA, Vanrenterghem J (2013) Vector field statistical analysis of kinematic and force trajectories. J Biomech 46(14):2394\u20132401","journal-title":"J Biomech"},{"issue":"6","key":"5535_CR27","doi-asserted-by":"publisher","first-page":"3103","DOI":"10.1007\/s00402-022-04533-y","volume":"143","author":"D Penning","year":"2023","unstructured":"Penning D, Kleipool S, van Dieren S, Dingemans SM, Group RC, Schepers T (2023) The minimal clinically important difference (MCID) of the Olerud Molander Ankle Score (OMAS) in patients with unstable ankle fracture. Arch Orthop Trauma Surg 143(6):3103\u20133110","journal-title":"Arch Orthop Trauma Surg"},{"issue":"2","key":"5535_CR28","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1302\/0301-620X.102B2.BJJ-2019-0692.R2","volume":"102-b","author":"BW R\u00e6der","year":"2020","unstructured":"R\u00e6der BW, Figved W, Madsen JE, Frihagen F, Jacobsen SB, Andersen MR (2020) Better outcome for suture button compared with single syndesmotic screw for syndesmosis injury: five-year results of a randomized controlled trial. Bone Jt J 102-b(2):212\u2013219","journal-title":"Bone Jt J"},{"issue":"SUPP_II","key":"5535_CR29","first-page":"286","volume":"92-B","author":"S Rajkumar","year":"2010","unstructured":"Rajkumar S, Shahzad S, Clark C, Dega R (2010) Suture-endobutton fixation of distal tibio-fibular diastasis: early functional results. Orthop Proc 92-B(SUPP_II):286\u2013287","journal-title":"Orthop Proc"},{"issue":"7","key":"5535_CR30","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1097\/BOT.0b013e31822a526a","volume":"26","author":"HC Sagi","year":"2012","unstructured":"Sagi HC, Shah AR, Sanders RW (2012) The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up. J Orthop Trauma 26(7):439\u2013443","journal-title":"J Orthop Trauma"},{"issue":"11","key":"5535_CR31","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1097\/BOT.0000000000001559","volume":"33","author":"D Sanders","year":"2019","unstructured":"Sanders D, Schneider P, Taylor M, Tieszer C, Lawendy AR (2019) Improved reduction of the tibiofibular syndesmosis with TightRope compared with screw fixation: results of a randomized controlled study. J Orthop Trauma 33(11):531\u2013537","journal-title":"J Orthop Trauma"},{"issue":"6","key":"5535_CR32","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1007\/s00264-012-1500-2","volume":"36","author":"T Schepers","year":"2012","unstructured":"Schepers T (2012) Acute distal tibiofibular syndesmosis injury: a systematic review of suture-button versus syndesmotic screw repair. Int Orthop 36(6):1199\u20131206","journal-title":"Int Orthop"},{"issue":"1","key":"5535_CR33","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.fas.2021.01.009","volume":"28","author":"K Tapaninaho","year":"2022","unstructured":"Tapaninaho K, Uimonen MM, Saarinen AJ, Repo JP (2022) Minimal important change for foot and ankle outcome score (FAOS). Foot Ankle Surg 28(1):44\u201348","journal-title":"Foot Ankle Surg"},{"key":"5535_CR34","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1097\/01.blo.0000151845.75230.a0","volume":"431","author":"B Thornes","year":"2005","unstructured":"Thornes B, Shannon F, Guiney AM, Hession P, Masterson E (2005) Suture-button syndesmosis fixation: accelerated rehabilitation and improved outcomes. Clin Orthop Relat Res 431:207\u2013212","journal-title":"Clin Orthop Relat Res"},{"issue":"9","key":"5535_CR35","doi-asserted-by":"publisher","first-page":"2556","DOI":"10.3390\/jcm11092556","volume":"11","author":"S Tsitlakidis","year":"2022","unstructured":"Tsitlakidis S, Beckmann NA, Wolf SI, Hagmann S, Renkawitz T, G\u00f6tze M (2022) GMFCS level-specific differences in kinematics and joint moments of the involved side in unilateral cerebral palsy. J Clin Med 11(9):2556","journal-title":"J Clin Med"},{"issue":"4","key":"5535_CR36","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1177\/0363546505281813","volume":"34","author":"V Valderrabano","year":"2006","unstructured":"Valderrabano V, Hintermann B, Horisberger M, Fung TS (2006) Ligamentous posttraumatic ankle osteoarthritis. Am J Sports Med 34(4):612\u2013620","journal-title":"Am J Sports Med"},{"key":"5535_CR37","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/j.ijsu.2018.11.007","volume":"60","author":"L Xie","year":"2018","unstructured":"Xie L, Xie H, Wang J et al (2018) Comparison of suture button fixation and syndesmotic screw fixation in the treatment of distal tibiofibular syndesmosis injury: a systematic review and meta-analysis. Int J Surg 60:120\u2013131","journal-title":"Int J Surg"},{"issue":"1","key":"5535_CR38","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1186\/s12891-017-1645-7","volume":"18","author":"P Zhang","year":"2017","unstructured":"Zhang P, Liang Y, He J, Fang Y, Chen P, Wang J (2017) A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury. BMC Musculoskelet Disord 18(1):286","journal-title":"BMC Musculoskelet Disord"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05535-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-024-05535-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05535-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T13:07:55Z","timestamp":1731589675000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-024-05535-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,11]]},"references-count":38,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["5535"],"URL":"https:\/\/doi.org\/10.1007\/s00402-024-05535-8","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,11]]},"assertion":[{"value":"18 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose. The authors have no competing interests to declare that are relevant to the content of this article. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the local Ethics Committee of the University\/ Institutional Review Board (S-454\/2017).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"S-454\/2017","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Institutional review board (IRB) approval"}},{"value":"We confirm, that this study was registered as a RCT prospectively. Trial Registration Number (German Clinical Trials Register): DRKS00013562. Date of Trial Registration: 07\/12\/2017. Date of commencement of the study: 08\/15\/2017. Date of enrolement\/recruitment of study subjects: 01\/01\/2018.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"RCT"}}]}}