The tibiofibular syndesmosis is a ligamentous structure connecting the distal ends of the tibia and fibula. This article presents and compares the available methods of treatment of syndesmosis injuries. Current publications from the online database PubMed and relevant available books are analysed and compared with AO Surgery guidelines. Metal and bioabsorbable syndesmotic screws and the suture button technique, including all possible modifications of these approaches, are compared. The focus is on the technical aspects of the procedures, functional outcomes and complications of these procedures. According to the literature, the best long-term functional outcomes are obtained with the dynamic fixation method involving the suture button. This fixation technique is closest to a physiological connection, there is no need to subsequently remove the implant and return to work is faster. Given all this, the popularity of this fixation technique can be expected to increase dynamically.

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The study was aimed to assess the outcomes of the operative procedure applied in the patients with the femoral neck fracture, treated with the Targon FN system, manufactured by Aesculap, and identify relationships between the outcome of treatment of the femoral neck fracture, patient's body mass, length of the period between the moment of injury and surgery, age of patient, prescribed medications. Study criteria were met by 19 patients aged between 25 and 87 and the average follow-up time was 20 months. Over the period between the surgery time and the study time, 3 patients died. The diagnosed complications included fracture below the implant (plate), aseptic necrosis of the femoral head, pseudarthrosis of the femoral neck and deep vein thrombosis. The joint functionality was assessed using the Harris Hip Score, where excellent and good results accounted for 70 per cent of all results. Given the low-invasiveness of the surgery, this is a recommendable method that allows for the preservation of the patient's hip joint, early rehabilitation and bringing patient to the vertical position. Complications were primarily diagnosed in the patients who had a postponed surgery, i.e. over 4 days after the injury involving 31B3 fracture according to AO.

Pursuant to the recent literature recommendations, we managed 31B1 fracture with Targon FN plate (BBraun/Aesculap, Germany) in our hospital. Patient reported to our center 14 weeks after operation, complaining about pain ailments in the proximity of the operated area. Patient did not sustain any other injuries. X-ray examination revealed the healed fracture of the femoral neck and fracture below a lower screw stabilizing implant.

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