Does position of syndesmotic screw affect functional and radiological outcome in ankle fractures?

The optimum level of syndesmotic screw used in ankle fractures with a tibiofibular diastasis is not clear in the literature. In a retrospective cohort study, we evaluated the clinical and radiological outcomes in two groups of patients—those who had a syndesmotic screw placed through the syndesmosis itself (transsyndesmotic, 17 patients) and those who had a syndesmotic screw placed just above the syndesmosis (suprasyndesmotic, 19 patients). The study suggests that the two groups do not differ significantly in terms of clinical and radiological outcomes.