Bolt fixation for syndesmotic injuries

Vil, Jeroen De; Bonte, Francis; Claes, H.; Bongaerts, Willem; Verstraete, Koenraad; Verdonk, René

doi:10.1016/j.injury.2009.02.013

Cited by 16 publications

(19 citation statements)

References 17 publications

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“…Therefore, this is not considered a factor that could influence the outcome. Another non-comparative study showed an OAFAS-AHS score of 86 after 5 years, not having the screws removed in their patients [9]. Only one other study was found with a highly comparable study design [6].…”

Section: Discussionmentioning

confidence: 99%

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Mid-term results of ankle fractures with and without syndesmotic rupture

Veen

Zuurmond

2015

Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 99%

“…If the syndesmosis is ruptured, syndesmotic screws are used to stabilize the joint. Several controversies exist; the number of screws used, the number of cortices engaged and the need for removal as well as timing of removal [1][2][3][4][5][6][7][8][9]. Removal of the screws after 6-8 weeks is standard level of care in our region.…”

Section: Introductionmentioning

confidence: 99%

Mid-term results of ankle fractures with and without syndesmotic rupture

Veen

Zuurmond

2015

Foot and Ankle Surgery

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“…Many surgical methods of fixation have been described to stabilize the syndesmosis in the literature: the syndesmosis hook,[8] syndesmosis screw,[6] Arthrex's TightRope,[9] bolt,[10] or bioabsorbable screw,[3] to reduce and hold the syndesmosis in position anatomically until the syndesmosis healing with early fiber formation. However, there is no consensus regarding the most reliable treatment for providing the most effective clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Ankle Syndesmosis Injuries with Syndesmosis Elastic Hook

Miao

Liu

Lin

et al. 2016

Chinese Medical Journal

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“…The syndesmotic bolt, which can reduce and effectively maintain the syndesmosis, has been used for many years [12,13]. A modified syndesmotic bolt has recently been reported, which is more flexible than metal cortical screw fixation, permitting some degree of micromovement [14]. However, it cannot permit the normal range of motion of distal tibiofibular joint, especially the rotation of the fibula [14].…”

Section: Introductionmentioning

confidence: 99%

“…A modified syndesmotic bolt has recently been reported, which is more flexible than metal cortical screw fixation, permitting some degree of micromovement [14]. However, it cannot permit the normal range of motion of distal tibiofibular joint, especially the rotation of the fibula [14]. Syndesmotic tightrope and even more flexible fixator have been recently introduced [8,10,15-18].…”

Section: Introductionmentioning

confidence: 99%

Flexible fixation of syndesmotic diastasis using the assembled bolt-tightrope system

Chen

Zhou

et al. 2013

Scand J Trauma Resusc Emerg Med

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BackgroundSyndesmotic diastasis is a common injury. Syndesmotic bolt and tightrope are two of the commonly used methods for the fixation of syndesmotic diastasis. Syndesmotic bolt can be used to reduce and maintain the syndesmosis. However, it cannot permit the normal range of motion of distal tibiofibular joint, especially the rotation of the fibula. Tightrope technique can be used to provide flexible fixation of the syndesmosis. However, it lacks the ability of reducing the syndesmotic diastasis. To combine the advantages of both syndemostic bolt and tightrope techniques and simultaneously avoid the potential disadvantages of both techniques, we designed the assembled bolt-tightrope system (ABTS). The purpose of this study was to evaluate the primary effectiveness of ABTS in treating syndesmotic diastasis.MethodsFrom October 2010 to June 2011, patients with syndesmotic diastasis met the inclusion criteria were enrolled into this study and treated with ABTS. Patients were followed up at 2, 6 weeks and 6, 12 months after operation. The functional outcomes were assessed according to the American Orthopedic Foot and Ankle Society (AOFAS) scores at 12 months follow-up. Patients’ satisfaction was evaluated based upon short form-12 (SF-12) health survey questionnaire. The anteroposterior radiographs of the injured ankles were taken, and the medial clear space (MCS), tibiofibular overlap (TFOL), and tibiofibular clear space (TFCS) were measured. All hardwares were routinely removed at 12-month postoperatively. Follow-ups continued. The functional and radiographic assessments were done again at the latest follow-up.ResultsTwelve patients were enrolled into this study, including 8 males and 4 females with a mean age of 39.5 years (range, 26 to 56 years). All patients also sustained ankle fractures. At 12 months follow-up, the mean AOFAS score was 95.4 (range, 85 to 100), and all patients were satisfied with the functional recoveries. The radiographic MCS, TFOL, and TFCS were within the normal range in all patients. After hardware removal, follow-up continued. At the latest follow-up (28 months on average, (range, 25 to 33 months) from internal fixation), the mean AOFAS score was 96.3 (range, 85 to 100), without significant difference with those assessed at 12 months after fixation operations. No syndesmotic diastasis reoccurred based upon the latest radiographic assessment.ConclusionsABTS can be used to reduce the syndesmotic diastasis and provide flexible fixation in a minimally invasive fashion. It seems to be an effective alternative technique to treat syndesmotic diastasis.

show abstract

Bolt fixation for syndesmotic injuries

Cited by 16 publications

References 17 publications

Mid-term results of ankle fractures with and without syndesmotic rupture

Mid-term results of ankle fractures with and without syndesmotic rupture

Surgical Treatment of Ankle Syndesmosis Injuries with Syndesmosis Elastic Hook

Flexible fixation of syndesmotic diastasis using the assembled bolt-tightrope system

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