{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:15:51Z","timestamp":1781248551544,"version":"3.54.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,3]]},"DOI":"10.7759\/cureus.102907","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T17:31:44Z","timestamp":1770139904000},"source":"Crossref","is-referenced-by-count":1,"title":["Stability at a Cost: Evaluating Postoperative Complications in Bioabsorbable vs. Metallic Syndesmotic Fixation: A Systematic Review"],"prefix":"10.7759","author":[{"given":"Andy","family":"Suarez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Checkley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Sakaria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Rinaldi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chrisitian","family":"Palacios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Alepuz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micah","family":"Ngatuvai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-012-0956-5","article-title":"Tibiofibular screw fixation for syndesmotic ruptures: a biomechanical analysis","volume":"34","author":"Stein G","year":"2012","unstructured":"Stein G, Eichler C, Ettmann L, Koebke J, M\u00fcller LP, Thelen U, Skouras E. Tibiofibular screw fixation for syndesmotic ruptures: a biomechanical analysis. Surg Radiol Anat. 2012, 34:593-7. 10.1007\/s00276-012-0956-5","journal-title":"Surg Radiol Anat"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2020.102778","article-title":"Traumatic injuries of the distal tibiofibular syndesmosis","volume":"107","author":"Cornu O","year":"2021","unstructured":"Cornu O, Manon J, Tribak K, Putineanu D. Traumatic injuries of the distal tibiofibular syndesmosis. Orthop Traumatol Surg Res. 2021, 107:102778. 10.1016\/j.otsr.2020.102778","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001711010670","article-title":"Distal tibiofibular syndesmosis: anatomy, biomechanics, injury, and management","volume":"11","author":"Yuen CP","year":"2017","unstructured":"Yuen CP, Lui TH. Distal tibiofibular syndesmosis: anatomy, biomechanics, injury, and management. Open Orthop J. 2017, 11:670-7. 10.2174\/1874325001711010670","journal-title":"Open Orthop J"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-011-1179-2","article-title":"Tibiofibular syndesmosis in acute ankle fractures: additional value of an oblique MR image plane","volume":"41","author":"Hermans JJ","year":"2012","unstructured":"Hermans JJ, Beumer A, Hop WC, Moonen AF, Ginai AZ. Tibiofibular syndesmosis in acute ankle fractures: additional value of an oblique MR image plane. Skeletal Radiol. 2012, 41:193-202. 10.1007\/s00256-011-1179-2","journal-title":"Skeletal Radiol"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v7.i11.700","article-title":"Ankle arthrodesis: a systematic approach and review of the literature","volume":"7","author":"Yasui Y","year":"2016","unstructured":"Yasui Y, Hannon CP, Seow D, Kennedy JG. Ankle arthrodesis: a systematic approach and review of the literature. World J Orthop. 2016, 7:700-8. 10.5312\/wjo.v7.i11.700","journal-title":"World J Orthop"},{"key":"ref6","article-title":"Evaluation of ankle fractures: non-operative and operative treatment","volume":"111","author":"Hughes JL","year":"1979","unstructured":"Hughes JL, Weber H, Willenegger H, Kuner EH. Evaluation of ankle fractures: non-operative and operative treatment. Clin Orthop Relat Res. 1979, 111:119.","journal-title":"Clin Orthop Relat Res"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s1083-7515(02)00022-0","article-title":"Syndesmosis injuries: acute, chronic, new techniques for failed management","volume":"7","author":"Mosier-LaClair S","year":"2002","unstructured":"Mosier-LaClair S, Pike H, Pomeroy G. Syndesmosis injuries: acute, chronic, new techniques for failed management. Foot Ankle Clin. 2002, 7:551. 10.1016\/s1083-7515(02)00022-0","journal-title":"Foot Ankle Clin"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v12.i5.270","article-title":"Acute syndesmotic injuries in ankle fractures: from diagnosis to treatment and current concepts","volume":"12","author":"Pogliacomi F","year":"2021","unstructured":"Pogliacomi F, De Filippo M, Casalini D, et al.. Acute syndesmotic injuries in ankle fractures: from diagnosis to treatment and current concepts. World J Orthop. 2021, 12:270-91. 10.5312\/wjo.v12.i5.270","journal-title":"World J Orthop"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200411","article-title":"Bioabsorbable versus stainless steel screw fixation of the syndesmosis in pronation-lateral rotation ankle fractures: a prospective randomized trial","volume":"22","author":"Thordarson DB","year":"2001","unstructured":"Thordarson DB, Samuelson M, Shepherd LE, Merkle PF, Lee J. Bioabsorbable versus stainless steel screw fixation of the syndesmosis in pronation-lateral rotation ankle fractures: a prospective randomized trial. Foot Ankle Int. 2001, 22:335-8. 10.1177\/107110070102200411","journal-title":"Foot Ankle Int"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2009-0099","article-title":"Bioabsorbable screw fixation of the syndesmosis in unstable ankle injuries","volume":"30","author":"Ahmad J","year":"2009","unstructured":"Ahmad J, Raikin SM, Pour AE, Haytmanek C. Bioabsorbable screw fixation of the syndesmosis in unstable ankle injuries. Foot Ankle Int. 2009, 30:99-105. 10.3113\/FAI-2009-0099","journal-title":"Foot Ankle Int"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300811","article-title":"Ruptured tibio-fibular syndesmosis: comparison study of metallic to bioabsorbable fixation","volume":"23","author":"Sinisaari IP","year":"2002","unstructured":"Sinisaari IP, L\u00fcthje PM, Mikkonen RH. Ruptured tibio-fibular syndesmosis: comparison study of metallic to bioabsorbable fixation. Foot Ankle Int. 2002, 23:744-8. 10.1177\/107110070202300811","journal-title":"Foot Ankle Int"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1225-x","article-title":"To retain or remove the syndesmotic screw: a review of literature","volume":"131","author":"Schepers T","year":"2011","unstructured":"Schepers T. To retain or remove the syndesmotic screw: a review of literature. Arch Orthop Trauma Surg. 2011, 131:879-83. 10.1007\/s00402-010-1225-x","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2015.03.014","article-title":"Bioabsorbable versus metallic screw fixation for tibiofibular syndesmotic ruptures: a meta-analysis","volume":"54","author":"van der Eng DM","year":"2015","unstructured":"van der Eng DM, Schep NW, Schepers T. Bioabsorbable versus metallic screw fixation for tibiofibular syndesmotic ruptures: a meta-analysis. J Foot Ankle Surg. 2015, 54:657-62. 10.1053\/j.jfas.2015.03.014","journal-title":"J Foot Ankle Surg"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2020.06.002","article-title":"Acute and chronic syndesmotic instability: role of surgical stabilization","volume":"39","author":"Stenquist DS","year":"2020","unstructured":"Stenquist DS, Ye MY, Kwon JY. Acute and chronic syndesmotic instability: role of surgical stabilization. Clin Sports Med. 2020, 39:745-71. 10.1016\/j.csm.2020.06.002","journal-title":"Clin Sports Med"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200201000-00005","article-title":"Treatment of syndesmotic disruptions of the ankle with bioabsorbable screw fixation","volume":"84","author":"Hovis WD","year":"2002","unstructured":"Hovis WD, Kaiser BW, Watson JT, Bucholz RW. Treatment of syndesmotic disruptions of the ankle with bioabsorbable screw fixation. J Bone Joint Surg Am. 2002, 84:26-31. 10.2106\/00004623-200201000-00005","journal-title":"J Bone Joint Surg Am"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1590\/1413-785220152305121124","article-title":"Comparative study between osteosynthesis with conventional and bioabsorbable implants in ankle fractures","volume":"23","author":"Gaiarsa GP","year":"2015","unstructured":"Gaiarsa GP, Dos Reis PR, Mattar R Jr, Silva Jdos S, Fernandez TD. Comparative study between osteosynthesis with conventional and bioabsorbable implants in ankle fractures. Acta Ortop Bras. 2015, 23:263-7. 10.1590\/1413-785220152305121124","journal-title":"Acta Ortop Bras"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000155313.50627.f6","article-title":"Fixation of syndesmotic ruptures in 38 patients with a malleolar fracture: a randomized study comparing a metallic and a bioabsorbable screw","volume":"19","author":"Kaukonen JP","year":"2005","unstructured":"Kaukonen JP, Lamberg T, Korkala O, Pajarinen J. Fixation of syndesmotic ruptures in 38 patients with a malleolar fracture: a randomized study comparing a metallic and a bioabsorbable screw. J Orthop Trauma. 2005, 19:392-5. 10.1097\/01.bot.0000155313.50627.f6","journal-title":"J Orthop Trauma"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B4.32171","article-title":"A prospective, randomised trial comparing the use of absorbable and metallic screws in the fixation of distal tibiofibular syndesmosis injuries: mid-term follow-up","volume":"96-B","author":"Sun H","year":"2014","unstructured":"Sun H, Luo CF, Zhong B, Shi HP, Zhang CQ, Zeng BF. A prospective, randomised trial comparing the use of absorbable and metallic screws in the fixation of distal tibiofibular syndesmosis injuries: mid-term follow-up. Bone Joint J. 2014, 96-B:548-54. 10.1302\/0301-620X.96B4.32171","journal-title":"Bone Joint J"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-1984-5","article-title":"Cost considerations in orthopaedic surgery","volume":"470","author":"Vander Griend R","year":"2012","unstructured":"Vander Griend R, Savoie FH III, Hughes MS. Cost considerations in orthopaedic surgery. Clin Orthop Relat Res. 2012, 470:467-72. 10.1007\/s11999-011-1984-5","journal-title":"Clin Orthop Relat Res"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3390\/ma13183914","article-title":"Is there a role for absorbable metals in surgery? A systematic review and meta-analysis of Mg\/Mg alloy-based implants","volume":"13","author":"Sukotjo C","year":"2020","unstructured":"Sukotjo C, Lima-Neto TJ, Santiago J\u00fanior JF, Faverani LP, Miloro M. Is there a role for absorbable metals in surgery? A systematic review and meta-analysis of Mg\/Mg alloy-based implants. Materials (Basel). 2020, 13:4. 10.3390\/ma13183914","journal-title":"Materials (Basel)"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/436713-stability-at-a-cost-evaluating-postoperative-complications-in-bioabsorbable-vs-metallic-syndesmotic-fixation-a-systematic-review","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T17:31:45Z","timestamp":1770139905000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/436713-stability-at-a-cost-evaluating-postoperative-complications-in-bioabsorbable-vs-metallic-syndesmotic-fixation-a-systematic-review"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,3]]},"references-count":20,"URL":"https:\/\/doi.org\/10.7759\/cureus.102907","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,3]]}}}