Repair of the Tibiofibular Syndesmosis with a Flexible Implant

Wh, Seitz; Ej, Bachner; Lj, Abram; Postak, Paul D.; Polando, G; Db, Brooks; Greenwald, A. Seth

doi:10.1097/00005131-199103000-00014

Cited by 86 publications

(47 citation statements)

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“…Several biomechanical studies have been published recently comparing this technique to metal syndesmotic screws. These studies were in agreement that the metal screw has on average increase strength to failure compared to the suture button, but that the suture button has more consistent strength [114,116,117]. Failure of the suture button occurs through the button, whereas failure of the screw is relative to cortical thickness.…”

Section: Surgical Implantssupporting

confidence: 53%

Syndesmotic Injuries in Athletes

Thormeyer¹,

Leonard²,

Hutchinson³

2012

An International Perspective on Topics in Sports Medicine and Sports Injury

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Section: Surgical Implantssupporting

confidence: 53%

Syndesmotic Injuries in Athletes

Thormeyer¹,

Leonard²,

Hutchinson³

2012

An International Perspective on Topics in Sports Medicine and Sports Injury

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“…The syndesmosis is composed of anterior and posterior inferior tibiofibular ligaments and a central interosseous ligament that extends proximally, forming the interosseous membrane (2). The tibiofibular syndesmosis allows physiologic micromotion to occur, which is essential to normal ankle function.…”

mentioning

confidence: 99%

Weber C Ankle Fractures: A Retrospective Audit of Screw Number, Size, Complications, and Retrieval Rates

Walker

Willis

2015

The Journal of Foot and Ankle Surgery

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“…There are some problems reported about conventional screw fixation. These are; screw loosening, screw breakage, stiffness, prolonged non weight bearing for protection of screw, synositosis, second operation for screw removal, late diastasis after screw removal because of insufficient fixation time [40][41][42][43][44].…”

Section: Treatmentmentioning

confidence: 99%

Suture Button Fixation for Syndesmosis Injuries: Review of the Literature

A¹

2014

Clin Res Foot Ankle

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Syndesmosis injuries -also known as high ankle sprains-have an increasing popularity because of an increased awareness of diagnosis. Different from lateral ankle sprains, mechanism of injury mostly involves external rotation, eversion and excessive dorsiflexion. Other mechanisms can also cause sydesmosis injuries. Because of high levels of missed injuries the real prevalence of syndesmosis injuries is underestimated. It is less frequently seen than lateral ankle injuries. For diagnosis, physical and radiological examination is essential.In radiological examination, associated injuries must be determined if present. Mostly seen associated injury is ankle fracture. Nonoperative treatment provides good results for syndesmosis injuries. Surgical treatment is indicated when syndesmosis injuries include frank diastasis. Arthroscopic view of syndesmotic instability is another indication. Failed conservative treatment may also be an indication. There are a lot of options for surgical fixation. Screws are the most popular among others but there are some complications about them. Alternatively, suture button fixation technique can be used. Suture button fixation is an implant with two metallic buttons surrounded with thick fiberwire sutures. Its stabilization mechanism depends on compression of two buttons to opposite sites by the help of fiberwire. It is designed to resist diastasis but allows small movement to other planes. It is very suitable for fixation of syndesmosis injuries and also to have less complication rates. Purpose of this study is to discuss the syndesmotic injuries and review the suture button fixation technique for the treatment.

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Repair of the Tibiofibular Syndesmosis with a Flexible Implant

Cited by 86 publications

References 0 publications

Syndesmotic Injuries in Athletes

Syndesmotic Injuries in Athletes

Weber C Ankle Fractures: A Retrospective Audit of Screw Number, Size, Complications, and Retrieval Rates

Suture Button Fixation for Syndesmosis Injuries: Review of the Literature

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