External rotation stiffness (Nm/degree) | Native | Fibular nail | Locked plate | p value |
---|---|---|---|---|
Pre-cyclic loading | ||||
 Across fracture | 1.2 ± 0.3 | 2.0 ± 1.5 | 5.8 ± 2.0 | 0.02* |
 Across syndesmosis | 1.5 ± 0.5 | 1.0 ± 0.4 | 2.8 ± 1.7 | 0.048* |
Post-cyclic loading | ||||
 Across fracture | 1.7 ± 0.2 | 3.1 ± 2.0 | 4.5 ± 1.4 | 0.23 |
 Across syndesmosis | 2.0 ± 0.3 | 1.5 ± 0.6 | 2.7 ± 0.8 | 0.03* |
Syndesmotic diastasis (mm) | ||||
Pre-cyclic loading | 1.4 ± 0.3 | 1.4 ± 0.5 | 0.7 ± 0.2 | 0.08a |
Post-cyclic loading | 1.7 ± 0.4 | 2.4 ± 1.9 | 1.4 ± 0.5 | 0.08a |
External rotation to failure | 2.3 ± 0.8 | 7.6 ± 8.8 | 5.6 ± 3.0 | 0.465 |
Failure properties | ||||
Torque to failure (Nm) |  | 29.6 ± 4.8 | 28.1 ± 6.2 | 0.46 |
Angle to failure (degree) |  | 91.6 ± 15.8 | 93.5 ± 18.2 | 0.73 |
Mode to failure (# of specimens) | Â | Â | Â | Â |
 | Screw loosening | 4 | 7 |  |
 | Soft tissue damage | 1 | 1 |  |
 | Fibular fracture | 3 | 1 |  |