Acta Mechanica Slovaca 2026, 30(1):6-14 | DOI: 10.21496/ams.2025.028

Proposal of Bioresorbable Implant´s Osteosynthesis Optimization for Syndesmosis Injury

Richard Staško1, Monika Michalíková1, Peter Szedlák1, Branko Štefanovič1, *, Jozef Živčák1
Department of Biomedical Engineering, Faculty of Mechanical Engineering, Technical University of Košice, Letná 1/9, 04200, Košice, Slovakia

This narrative review focuses on biodegradable magnesium-based materials, emphasizing their biocompatibility, mechanical properties, and clinical potential for orthopedic applications. The aim of the study is to assess the suitability of magnesium alloys - particularly the ZX00 alloy (Mg-0.45Zn-0.45Ca)-for the stabilization of the tibiofibular syndesmosis (syndesmosis tibiofibularis). The work summarizes recent advances in material science, alloy optimization, surface modification, and additive manufacturing techniques that enhance the corrosion resistance and mechanical integrity of magnesium implants. It compares the biomechanical performance of magnesium alloys with conventional osteosynthetic materials such as stainless steel and titanium, highlighting their bone-like elasticity and controlled bioresorption after fracture healing. Based on preclinical and early clinical data, biodegradable magnesium implants show promising outcomes in syndesmosis fixation and may reduce the need for secondary hardware removal. Although these factors could potentially lower overall treatment costs, further clinical and economic studies are required to substantiate this benefit.

Keywords: syndesmosis; bioresorbable; osteosynthesis, additive manufacturing

Received: October 3, 2025; Revised: October 30, 2025; Accepted: November 3, 2025; Published: April 1, 2026  Show citation

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Staško, R., Michalíková, M., Szedlák, P., Štefanovič, B., & Živčák, J. (2026). Proposal of Bioresorbable Implant´s Osteosynthesis Optimization for Syndesmosis Injury. Acta Mechanica Slovaca, 30(1), 6-14. doi: 10.21496/ams.2025.028
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