Comments on Hsu et al.: surgical treatment of syndesmotic diastasis: emphasis on effect of syndesmotic screw on ankle function.

摘要

With great interest we read the article of Hsu et al. entitled "Surgical treatment of syndesmotic diastasis: emphasis on effect of syndesmotic screw on ankle function" [1]. The authors report on screw fixation in patients with syndesmotic diastasis. They describe a syndesmotic diastasis recurrence in six of 52 patients (11.5%) with an average increase in widening of 3.8 mm (range 3-7 mm) diagnosed on anteroposterior radiographs. At 19 months (range 12-36) follow-up they observed no difference in ankle function, as defined by Bray's scoring system, between patients with and without recurrence of syndesmotic diastasis. We were surprised by their conclusion and would like to make some remarks that we feel should be discussed.