{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:39:32Z","timestamp":1789439972489,"version":"build-2803163510"},"reference-count":46,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","footanklesurgery-journal.com","clinicalkey.es","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Foot and Ankle Surgery"],"published-print":{"date-parts":[[2019,2]]},"DOI":"10.1016\/j.fas.2017.08.001","type":"journal-article","created":{"date-parts":[[2017,8,18]],"date-time":"2017-08-18T01:00:26Z","timestamp":1503018026000},"page":"63-70","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":34,"title":["To compare the efficacy between fixation with tightrope and screw in the treatment of syndesmotic injuries: A meta-analysis"],"prefix":"10.1016","volume":"25","author":[{"given":"BaiHang","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ZeTian","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PeiZhen","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hang","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ZhanPeng","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.fas.2017.08.001_bib0005","doi-asserted-by":"crossref","first-page":"276","DOI":"10.3109\/17453674.2012.672091","article-title":"Epidemiology of adult ankle fractures in Sweden between 1987 and 2004: a population-based study of 91,410 Swedish inpatients","volume":"83","author":"Thur","year":"2012","journal-title":"Acta Orthop"},{"key":"10.1016\/j.fas.2017.08.001_bib0010","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1177\/107110070302400509","article-title":"A biomechanical evaluation of the tibiofibular and tibiotalar ligaments of the ankle","volume":"24","author":"Beumer","year":"2003","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0015","doi-asserted-by":"crossref","first-page":"975","DOI":"10.7326\/0003-4819-125-12-199612150-00007","article-title":"Epidemiology of osteoporotic ankle fractures in elderly persons in Finland","volume":"125","author":"Kannus","year":"1996","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.fas.2017.08.001_bib0020","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/j.injury.2009.05.008","article-title":"Outcome and complications of treatment of ankle diastasis with tightrope fixation","volume":"40","author":"Willmott","year":"2009","journal-title":"Injury"},{"key":"10.1016\/j.fas.2017.08.001_bib0025","doi-asserted-by":"crossref","first-page":"2627","DOI":"10.1016\/j.injury.2016.09.032","article-title":"A systematic review on dynamic versus static distal tibiofibular fixation","volume":"47","author":"Inge","year":"2016","journal-title":"Injury"},{"key":"10.1016\/j.fas.2017.08.001_bib0030","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1053\/j.jfas.2013.04.013","article-title":"Does the Arthrex TightRope\u00ae provide maintenance of the distal tibiofibular syndesmosis? A 2-year follow-up of 64 TightRopes\u00ae in 37 patients","volume":"52","author":"Rigby","year":"2013","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.fas.2017.08.001_bib0035","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1177\/1071100715571631","article-title":"Maintenance of reduction with suture button fixation devices for ankle syndesmosis repair","volume":"36","author":"Peterson","year":"2015","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0040","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1007\/s00264-013-1999-x","article-title":"Internal fixation of distal tibiofibular syndesmotic injuries: a systematic review with meta-analysis","volume":"37","author":"Wang","year":"2013","journal-title":"Int Orthop"},{"key":"10.1016\/j.fas.2017.08.001_bib0045","doi-asserted-by":"crossref","first-page":"2537","DOI":"10.1007\/s00264-013-2104-1","article-title":"Letter regarding article by Wang et al., internal fixation of distal tibiofibular syndesmotic injuries: a systematic review with meta-analysis","volume":"37","author":"Tian","year":"2013","journal-title":"Int Orthop"},{"key":"10.1016\/j.fas.2017.08.001_bib0050","doi-asserted-by":"crossref","first-page":"W65","DOI":"10.7326\/0003-4819-151-4-200908180-00136","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration","volume":"151","author":"Liberati","year":"2009","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.fas.2017.08.001_bib0055","doi-asserted-by":"crossref","first-page":"2008","DOI":"10.1001\/jama.283.15.2008","article-title":"Meta-analysis of observational studies in epidemiology\u2014a proposal for reporting","volume":"283","author":"Stroup","year":"2000","journal-title":"J Am Med Assoc"},{"key":"10.1016\/j.fas.2017.08.001_bib0060","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.eururo.2012.05.055","article-title":"Laparoendoscopic single-site nephrectomy compared with conventional laparoscopic nephrectomy: a systematic review and meta-analysis of comparative studies","volume":"62","author":"Fan","year":"2012","journal-title":"Eur Urol"},{"key":"10.1016\/j.fas.2017.08.001_bib0065","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/BOT.0000000000000245","article-title":"A prospective randomized multicenter trial comparing clinical outcomes of patients treated surgically with a static or dynamic implant for acute ankle syndesmosis rupture","volume":"29","author":"Laflamme","year":"2015","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.fas.2017.08.001_bib0070","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1016\/j.injury.2015.02.004","article-title":"A prospective randomised study comparing TightRope and syndesmotic screw fixation for accuracy and maintenance of syndesmotic reduction assessed with bilateral computed tomography","volume":"46","author":"Kortekangas","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.fas.2017.08.001_bib0075","doi-asserted-by":"crossref","first-page":"2828","DOI":"10.1177\/0363546512461480","article-title":"Fixation of ankle syndesmotic injuries comparison of TightRope fixation and syndesmotic screw fixation for accuracy of syndesmotic reduction","volume":"40","author":"Naqvi","year":"2012","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.fas.2017.08.001_bib0080","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1053\/j.jfas.2009.07.013","article-title":"Transosseous fixation of the distal tibiofibular syndesmosis: comparison of an interosseous suture and endobutton to traditional screw fixation in 50 cases","volume":"48","author":"Cottom","year":"2009","journal-title":"J Foot Ankle Surg"},{"issue":"1","key":"10.1016\/j.fas.2017.08.001_bib0085","first-page":"32","article-title":"Treatment of syndesmoses disruptions: a prospective, randomized study comparing conventional screw fixation vs TightRope\u00ae fiber wire fixation\u2014medium term results","volume":"8","author":"Ebeling","year":"2009","journal-title":"SA Orthop J"},{"key":"10.1016\/j.fas.2017.08.001_bib0090","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1053\/j.jfas.2016.05.002","article-title":"A comparison of screw fixation and suture-button fixation in a syndesmosis injury in an ankle fracture","volume":"55","author":"Kim","year":"2016","journal-title":"J Foot Ankle Surg"},{"issue":"Suppl. 2","key":"10.1016\/j.fas.2017.08.001_bib0095","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.1016\/j.injury.2015.05.027","article-title":"Comparison of screw fixation with elastic fixation methods in the treatment of syndesmosis injuries in ankle fractures","volume":"46","author":"Seyhan","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.fas.2017.08.001_bib0100","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1177\/1071100716661221","article-title":"Evaluation of reduction accuracy of suture-button and screw fixation techniques for syndesmotic injuries","volume":"37","author":"Kocadal","year":"2016","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0105","article-title":"Suture-button syndesmosis fixation: accelerated rehabilitation and improved outcomes","volume":"207","author":"Thornes","year":"2005","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.fas.2017.08.001_bib0110","doi-asserted-by":"crossref","first-page":"773","DOI":"10.3113\/FAI.2008.0773","article-title":"Treatment of syndesmotic disruptions with the Arthrex Tightrope (TM): a report of 25 cases","volume":"29","author":"Cottom","year":"2008","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0115","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1053\/j.jfas.2006.12.002","article-title":"Reliability and validity of the subjective component of the American Orthopaedic Foot and Ankle Society clinical rating scales","volume":"46","author":"Ibrahim","year":"2007","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.fas.2017.08.001_bib0120","first-page":"154","article-title":"Cochrane handbook for systematic reviews of interventions","volume":"35","author":"Higgins","year":"2014","journal-title":"Online Kensaku"},{"key":"10.1016\/j.fas.2017.08.001_bib0125","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1016\/S0140-6736(01)06069-X","article-title":"Effect of arterial revascularisation on survival: a systematic review of studies comparing bilateral and single internal mammary arteries","volume":"358","author":"Taggart","year":"2001","journal-title":"Lancet (London, England)"},{"key":"10.1016\/j.fas.2017.08.001_bib0130","series-title":"The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies inmeta-analyses","author":"Wells","year":"2012"},{"key":"10.1016\/j.fas.2017.08.001_bib0135","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1471-2288-5-13","article-title":"Estimating the mean and variance from the median, range, and the size of a sample","volume":"5","author":"Hozo","year":"2005","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.fas.2017.08.001_bib0140","doi-asserted-by":"crossref","first-page":"2026","DOI":"10.1016\/S0140-6736(05)67814-2","article-title":"Effect of inhibitors of the renin-angiotensin system and other antihypertensive drugs on renal outcomes: systematic review and meta-analysis","volume":"366","author":"Casas","year":"2005","journal-title":"Lancet (London, England)"},{"key":"10.1016\/j.fas.2017.08.001_bib0145","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/0197-2456(86)90046-2","article-title":"Meta-analysis in clinical trials","volume":"7","author":"DerSimonian","year":"1986","journal-title":"Control Clin Trials"},{"key":"10.1016\/j.fas.2017.08.001_bib0150","doi-asserted-by":"crossref","first-page":"820","DOI":"10.7326\/0003-4819-127-9-199711010-00008","article-title":"Quantitative synthesis in systematic reviews","volume":"127","author":"Lau","year":"1997","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.fas.2017.08.001_bib0155","doi-asserted-by":"crossref","first-page":"250","DOI":"10.3113\/FAI.2011.0250","article-title":"Outcomes of suture button repair of the distal tibiofibular syndesmosis","volume":"32","author":"Degroot","year":"2011","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0160","first-page":"39","article-title":"Walking on a tightrope: our experience in the treatment of traumatic ankle syndesmosis rupture","author":"McMurray","year":"2008","journal-title":"Inj Extra"},{"key":"10.1016\/j.fas.2017.08.001_bib0165","doi-asserted-by":"crossref","first-page":"841","DOI":"10.3113\/FAI.2011.0841","article-title":"AOFAS position statement regarding the future of the AOFAS clinical rating systems","volume":"32","author":"Pinsker","year":"2011","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0170","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1007\/s00264-012-1500-2","article-title":"Acute distal tibiofibular syndesmosis injury: a systematic review of suture-button versus syndesmotic screw repair","volume":"36","author":"Schepers","year":"2012","journal-title":"Int Orthop"},{"key":"10.1016\/j.fas.2017.08.001_bib0175","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.3113\/FAI.2011.1040","article-title":"Complications of syndesmotic screw removal","volume":"32","author":"Schepers","year":"2011","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0180","doi-asserted-by":"crossref","first-page":"268","DOI":"10.3928\/01477447-20060301-03","article-title":"Distal tibial fatigue fracture secondary to a retained syndesmotic screw","volume":"29","author":"Sewecke","year":"2006","journal-title":"Orthopedics"},{"key":"10.1016\/j.fas.2017.08.001_bib0185","doi-asserted-by":"crossref","first-page":"717","DOI":"10.3113\/FAI.2012.0717","article-title":"Complications of suture button ankle syndesmosis stabilization with modifications of surgical technique","volume":"33","author":"Storey","year":"2012","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0190","doi-asserted-by":"crossref","first-page":"908","DOI":"10.3113\/FAI.2011.0908","article-title":"Avoiding suture knot prominence with suture button along distal fibula: technical tip","volume":"32","author":"Hodgson","year":"2011","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2017.08.001_bib0195","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1016\/j.injury.2011.10.002","article-title":"Tightrope fixation of ankle syndesmosis injuries: clinical outcome, complications and technique modification","volume":"43","author":"Naqvi","year":"2012","journal-title":"Injury"},{"key":"10.1016\/j.fas.2017.08.001_bib0200","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1053\/j.jfas.2014.09.041","article-title":"Osteomyelitis after TightRope\u00ae fixation of the ankle syndesmosis: a case report and review of the literature","volume":"54","author":"Hong","year":"2015","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.fas.2017.08.001_bib0205","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/01.jsa.0000212329.32969.b8","article-title":"Evidence-based approach to treatment of acute traumatic syndesmosis (high ankle) sprains","volume":"14","author":"Amendola","year":"2006","journal-title":"Sports Med Arthrosc"},{"key":"10.1016\/j.fas.2017.08.001_bib0210","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1007\/s00256-011-1284-2","article-title":"Correlation between radiological assessment of acute ankle fractures and syndesmotic injury on MRI","volume":"41","author":"Hermans","year":"2012","journal-title":"Skelet Radiol"},{"key":"10.1016\/j.fas.2017.08.001_bib0215","doi-asserted-by":"crossref","first-page":"521","DOI":"10.2106\/00004623-198971040-00007","article-title":"Reconstruction of malunited fractures of the lateral malleolus","volume":"71","author":"Yablon","year":"1989","journal-title":"J Bone Jt Surg Am Vol"},{"key":"10.1016\/j.fas.2017.08.001_bib0220","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1302\/0301-620X.98B11.BJJ-2016-0202.R1","article-title":"Should syndesmotic screws be removed after surgical fixation of unstable ankle fractures? A systematic review","volume":"98B","author":"Dingemans","year":"2016","journal-title":"Bone Jt J"},{"key":"10.1016\/j.fas.2017.08.001_bib0225","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1177\/0363546516664713","article-title":"Suture button fixation versus syndesmotic screws in supination-external rotation type 4 injuries: a cost-effectiveness analysis","volume":"45","author":"Neary","year":"2017","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.fas.2017.08.001_bib0230","doi-asserted-by":"crossref","first-page":"490","DOI":"10.2106\/00004623-198466040-00002","article-title":"Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures","volume":"66","author":"Leeds","year":"1984","journal-title":"J Bone Jt Surg Am Vol"}],"container-title":["Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1268773117312791?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1268773117312791?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T21:57:20Z","timestamp":1549922240000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1268773117312791"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["S1268773117312791"],"URL":"https:\/\/doi.org\/10.1016\/j.fas.2017.08.001","relation":{},"ISSN":["1268-7731"],"issn-type":[{"value":"1268-7731","type":"print"}],"subject":[],"published":{"date-parts":[[2019,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"To compare the efficacy between fixation with tightrope and screw in the treatment of syndesmotic injuries: A meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Foot and Ankle Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.fas.2017.08.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}