{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T12:48:22Z","timestamp":1770295702864,"version":"3.49.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,25]]},"DOI":"10.7759\/cureus.45910","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T12:41:53Z","timestamp":1695645713000},"source":"Crossref","is-referenced-by-count":4,"title":["Radiographic Evaluation of Syndesmosis Stabilisation Using the TightRope System Versus Syndesmotic Screw Fixation for the Management of Ankle Fractures With a Syndesmotic Injury"],"prefix":"10.7759","author":[{"given":"Georgios","family":"Saraglis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anwar","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harsh","family":"Chaudhari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sagar","family":"Pyakurel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayed Fazal","family":"Elahi Rabbani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Arafa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","article-title":"Skeletal Trauma: Basic Science, Management, and Reconstruction","author":"Browner BD","year":"2009","unstructured":"Browner BD, Jupiter JB, Levine AM, Trafton PG, Krettek C. Skeletal Trauma: Basic Science, Management, and Reconstruction. Elsevier, Philadelphia, PA; 2009."},{"key":"ref2","article-title":"Biomechanics of the foot and ankle","author":"Sammarco GJ","year":"2001","unstructured":"Sammarco GJ, Hockenbury RT. Biomechanics of the foot and ankle. Basic Biomechanics of the Musculoskeletal System. Nordin M, Frankel VH (ed): Lippincott Williams &amp; Wilkins, Philadelphia, PA; 2001. 223-55."},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B2.BJJ-2019-0692.R2","article-title":"Better outcome for suture button compared with single syndesmotic screw for syndesmosis injury: five-year results of a randomized controlled trial","volume":"102","author":"R\u00e6der BW","year":"2020","unstructured":"R\u00e6der BW, Figved W, Madsen JE, Frihagen F, Jacobsen SB, Andersen MR. Better outcome for suture button compared with single syndesmotic screw for syndesmosis injury: five-year results of a randomized controlled trial. Bone Joint J. 2020, 102:212-9. 10.1302\/0301-620X.102B2.BJJ-2019-0692.R2","journal-title":"Bone Joint J"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716666278","article-title":"Biomechanical comparison of 3 current ankle syndesmosis repair techniques","volume":"38","author":"Clanton TO","year":"2017","unstructured":"Clanton TO, Whitlow SR, Williams BT, et al.. Biomechanical comparison of 3 current ankle syndesmosis repair techniques. Foot Ankle Int. 2017, 38:200-7. 10.1177\/1071100716666278","journal-title":"Foot Ankle Int"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00004424-199707000-00006","article-title":"Magnetic resonance imaging in the diagnosis of acute injured distal tibiofibular syndesmosis","volume":"32","author":"Vogl TJ","year":"1997","unstructured":"Vogl TJ, Hochmuth K, Diebold T, et al.. Magnetic resonance imaging in the diagnosis of acute injured distal tibiofibular syndesmosis. Invest Radiol. 1997, 32:401-9. 10.1097\/00004424-199707000-00006","journal-title":"Invest Radiol"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602701005","article-title":"Malreduction of the tibiofibular syndesmosis in ankle fractures","volume":"27","author":"Gardner MJ","year":"2006","unstructured":"Gardner MJ, Demetrakopoulos D, Briggs SM, Helfet DL, Lorich DG. Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int. 2006, 27:788-92. 10.1177\/107110070602701005","journal-title":"Foot Ankle Int"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.004214","article-title":"Radiographic evaluation of the ankle syndesmosis","volume":"58","author":"Croft S","year":"2015","unstructured":"Croft S, Furey A, Stone C, Moores C, Wilson R. Radiographic evaluation of the ankle syndesmosis. Can J Surg. 2015, 58:58-62. 10.1503\/cjs.004214","journal-title":"Can J Surg"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318284785a","article-title":"CT scan assessment of the syndesmosis: a new reproducible method","volume":"27","author":"Nault ML","year":"2013","unstructured":"Nault ML, H\u00e9bert-Davies J, Laflamme GY, Leduc S. CT scan assessment of the syndesmosis: a new reproducible method. J Orthop Trauma. 2013, 27:638-41. 10.1097\/BOT.0b013e318284785a","journal-title":"J Orthop Trauma"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3182535f30","article-title":"Normal tibiofibular relationships at the syndesmosis on axial CT imaging","volume":"26","author":"Dikos GD","year":"2012","unstructured":"Dikos GD, Heisler J, Choplin RH, Weber TG. Normal tibiofibular relationships at the syndesmosis on axial CT imaging. J Orthop Trauma. 2012, 26:433-8. 10.1097\/BOT.0b013e3182535f30","journal-title":"J Orthop Trauma"},{"key":"ref10","article-title":"Diagnostics in suspicion of ankle syndesmotic injury","volume":"40","author":"Scheyerer MJ","year":"2011","unstructured":"Scheyerer MJ, Helfet DL, Wirth S, Werner CM. Diagnostics in suspicion of ankle syndesmotic injury. Am J Orthop (Belle Mead NJ). 2011, 40:192-7.","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200706000-00002","article-title":"Ankle syndesmotic injury","volume":"15","author":"Zalavras C","year":"2007","unstructured":"Zalavras C, Thordarson D. Ankle syndesmotic injury. J Am Acad Orthop Surg. 2007, 15:330-9. 10.5435\/00124635-200706000-00002","journal-title":"J Am Acad Orthop Surg"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31822a526a","article-title":"The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up","volume":"26","author":"Sagi HC","year":"2012","unstructured":"Sagi HC, Shah AR, Sanders RW. The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up. J Orthop Trauma. 2012, 26:439-43. 10.1097\/BOT.0b013e31822a526a","journal-title":"J Orthop Trauma"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000177114.13263.12","article-title":"Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures","volume":"19","author":"Jenkinson RJ","year":"2005","unstructured":"Jenkinson RJ, Sanders DW, Macleod MD, Domonkos A, Lydestadt J. Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures. J Orthop Trauma. 2005, 19:604-9. 10.1097\/01.bot.0000177114.13263.12","journal-title":"J Orthop Trauma"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.102680","article-title":"Ankle syndesmotic injury: tightrope vs screw fixation, a clinical academic survey","volume":"69","author":"Shafiq H","year":"2021","unstructured":"Shafiq H, Iqbal Z, Khan MN, Rasool MU, Faraz A, Jamshed MH, Khan BG. Ankle syndesmotic injury: tightrope vs screw fixation, a clinical academic survey. Ann Med Surg (Lond). 2021, 69:102680. 10.1016\/j.amsu.2021.102680","journal-title":"Ann Med Surg (Lond)"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1645-7","article-title":"A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury","volume":"18","author":"Zhang P","year":"2017","unstructured":"Zhang P, Liang Y, He J, Fang Y, Chen P, Wang J. A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury. BMC Musculoskelet Disord. 2017, 18:286. 10.1186\/s12891-017-1645-7","journal-title":"BMC Musculoskelet Disord"},{"key":"ref16","doi-asserted-by":"publisher","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 T","year":"2015","unstructured":"Kortekangas T, Savola O, Flinkkil\u00e4 T, et al.. A prospective randomised study comparing TightRope and syndesmotic screw fixation for accuracy and maintenance of syndesmotic reduction assessed with bilateral computed tomography. Injury. 2015, 46:1119-26. 10.1016\/j.injury.2015.02.004","journal-title":"Injury"},{"key":"ref17","doi-asserted-by":"publisher","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 GA","year":"2012","unstructured":"Naqvi GA, Shafqat A, Awan N. Tightrope fixation of ankle syndesmosis injuries: clinical outcome, complications and technique modification. Injury. 2012, 43:838-42. 10.1016\/j.injury.2011.10.002","journal-title":"Injury"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2021024","article-title":"Acute foot and ankle injuries and time return to sport","volume":"7","author":"Thevendran G","year":"2021","unstructured":"Thevendran G, Kadakia AR, Giza E, Haverkamp D, D'Hooghe JP, Veljkovic A, Abdelatif NM. Acute foot and ankle injuries and time return to sport. SICOT J. 2021, 7:27. 10.1051\/sicotj\/2021024","journal-title":"SICOT J"},{"key":"ref19","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":"ref20","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700801","article-title":"Syndesmosis fixation: a comparison of three and four cortices of screw fixation without hardware removal","volume":"27","author":"Moore JA Jr","year":"2006","unstructured":"Moore JA Jr, Shank JR, Morgan SJ, Smith WR. Syndesmosis fixation: a comparison of three and four cortices of screw fixation without hardware removal. Foot Ankle Int. 2006, 27:567-72. 10.1177\/107110070602700801","journal-title":"Foot Ankle Int"},{"key":"ref21","doi-asserted-by":"publisher","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 JM","year":"2009","unstructured":"Cottom JM, Hyer CF, Philbin TM, Berlet GC. Transosseous fixation of the distal tibiofibular syndesmosis: comparison of an interosseous suture and endobutton to traditional screw fixation in 50 cases. J Foot Ankle Surg. 2009, 48:620-30. 10.1053\/j.jfas.2009.07.013","journal-title":"J Foot Ankle Surg"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.7547\/0970457","article-title":"Effects of three- or four-cortex syndesmotic fixation in ankle fractures","volume":"97","author":"Karapinar H","year":"2007","unstructured":"Karapinar H, Kalenderer O, Karapinar L, Altay T, Manisali M, Gunal I. Effects of three- or four-cortex syndesmotic fixation in ankle fractures. J Am Podiatr Med Assoc. 2007, 97:457-9. 10.7547\/0970457","journal-title":"J Am Podiatr Med Assoc"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(01)00199-1","article-title":"Do type B malleolar fractures need a positioning screw?","volume":"33","author":"Heim D","year":"2002","unstructured":"Heim D, Schmidlin V, Ziviello O. Do type B malleolar fractures need a positioning screw?. Injury. 2002, 33:729-34. 10.1016\/S0020-1383(01)00199-1","journal-title":"Injury"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2020-0265","article-title":"Effectiveness of the TightRope\u00ae fixation in treating ankle syndesmosis injuries: a critically appraised topic","volume":"30","author":"Street SB","year":"2021","unstructured":"Street SB, Rawlins M, Miller J. Effectiveness of the TightRope\u00ae fixation in treating ankle syndesmosis injuries: a critically appraised topic. J Sport Rehabil. 2021, 30:676-9. 10.1123\/jsr.2020-0265","journal-title":"J Sport Rehabil"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/188667-radiographic-evaluation-of-syndesmosis-stabilisation-using-the-tightrope-system-versus-syndesmotic-screw-fixation-for-the-management-of-ankle-fractures-with-a-syndesmotic-injury","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T20:06:37Z","timestamp":1707509197000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/188667-radiographic-evaluation-of-syndesmosis-stabilisation-using-the-tightrope-system-versus-syndesmotic-screw-fixation-for-the-management-of-ankle-fractures-with-a-syndesmotic-injury"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,25]]},"references-count":24,"URL":"https:\/\/doi.org\/10.7759\/cureus.45910","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9,25]]}}}