An Alternative Strategy for Treatment of Distal Tibiofibular Syndesmotic Disruption: A Technical Note

Qu, Jin-tao; Shi, Guohua; Wang, Yang-cai; Li, Jian; Dong, Ji-wu; Hu, Yue Lin

doi:10.1053/j.jfas.2017.04.010

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…More recently, most surgical fixations for syndesmosis diastasis have been operated with the flexible fixation method involving the suture button ( Chen et al, 2019 ; Alastuey-López et al, 2021 ). Based on suture button design, TightRope (TR) has become a relatively new operation which provides accurate reduction and anatomical maintenance ( Qu et al, 2017 ). However, the TR system fixation also brings about several new potential complications, which include knot infection and looseness ( Xie et al, 2018 ; Pang et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

A Novel Adjustable EndoButton Fixation Assisted by 3D Printing Technology for Tibiofibular Syndesmosis Injury: A Biomechanical Study

Zhang

Tang

et al. 2022

Front. Bioeng. Biotechnol.

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Purpose: The recommendations for surgical fixation of tibiofibular syndesmosis injuries are increasingly challenging for many clinical orthopedists, as international consensus has not been published for the optimal treatment of the injury. Thus, we have created a 3D-printed navigation template for a precise bone tunnel and a novel adjustable EndoButton fixation (NAE) for the ideal treatment. The purpose of this research was to evaluate the accuracy of the 3D-printed navigation template and explore the biomechanical performance of the NAE technique by comparing it with the intact syndesmosis, screw technique, and TightRope (TR) technique.Methods: Twenty-four human cadaveric legs were randomly allocated to four groups: the NAE group (n = 6), TR group (n = 6), screw group (n = 6), and intact group (n = 6). A personalized navigation template based on computed tomography scans was designed, and 3D printing models were generated for the distal tibiofibular syndesmosis. The NAE, TR, and screw group were performed via 3D-printed navigation template, respectively. All groups were tested under increasing loading forces including axial loading (from 100 N to 700 N) and torsional loading (from 1 N to 5 N), which were performed in different ankle positions. The displacements of the tibiofibular syndesmosis were analyzed using the Bose Electroforce 3510-AT biomechanical testing equipment.Results: Surgical fixations were conducted successfully through a 3D-printed navigation template. Both in axial or torsional loading experiments, no statistically significant difference was observed in the displacements among the NAE, TR, and intact groups in most situations (p > 0.05), whereas the screw group demonstrated obviously smaller displacements than the abovementioned three groups (p < 0.05).Conclusion: The 3D printing technology application may become beneficial and favorable for locating and making the bone tunnel. Also, the NAE fixation provides the performance of complete ligaments; it also restores physiologic micromotion and avoids insufficient or excessive reduction when compared to the TR and screw technique. This may offer a new fixation for the treatment of tibiofibular syndesmosis injuries that is desirable for clinical promotion.

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Section: Introductionmentioning

confidence: 99%

A Novel Adjustable EndoButton Fixation Assisted by 3D Printing Technology for Tibiofibular Syndesmosis Injury: A Biomechanical Study

Zhang

Tang

et al. 2022

Front. Bioeng. Biotechnol.

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Clinical outcomes of an olive wire and external fixator versus a metallic screw in the treatment of inferior tibiofibular syndesmosis injuries in ankle fractures

Wang

et al. 2023

Foot and Ankle Surgery

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An Alternative Strategy for Treatment of Distal Tibiofibular Syndesmotic Disruption: A Technical Note

Cited by 2 publications

References 12 publications

A Novel Adjustable EndoButton Fixation Assisted by 3D Printing Technology for Tibiofibular Syndesmosis Injury: A Biomechanical Study

A Novel Adjustable EndoButton Fixation Assisted by 3D Printing Technology for Tibiofibular Syndesmosis Injury: A Biomechanical Study

Clinical outcomes of an olive wire and external fixator versus a metallic screw in the treatment of inferior tibiofibular syndesmosis injuries in ankle fractures

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