Suture-button versus screw fixation in a syndesmosis rupture model: A biomechanical comparison

Foot and Ankle International

Volumn 30, Issue 4, 2009, Pages 346-352

  Soin, Sandeep P ^a   Knight, Trevor A ^a   Dinah, A Feroz ^a   Mears, Simon C ^a,b   Swierstra, Bart A ^a   Belkoff, Stephen M ^a  

^a Johns Hopkins Bayview Medical Center ^*

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Ankle; Flexible; Suture button; Syndesmosis; Tibiofibular

Indexed keywords

ANKLE INJURY; ARTICLE; FRACTURE FIXATION; HUMAN; INTERMETHOD COMPARISON; JOINT FUNCTION; JOINT MOBILITY; POSTERIOR LONGITUDINAL LIGAMENT; PRIORITY JOURNAL; SUTURING METHOD;

ANKLE INJURIES; BIOMECHANICS; BONE SCREWS; CADAVER; EQUIPMENT FAILURE ANALYSIS; HUMANS; LIGAMENTS, ARTICULAR; RUPTURE; SUTURE ANCHORS; SUTURE TECHNIQUES; WEIGHT-BEARING;

EID: 65249170168     PISSN: 10711007     EISSN: None     Source Type: Journal    
DOI: 10.3113/FAI.2009.0346     Document Type: Article

References (17)

1. Bartonicek, J: Anatomy of the tibiofibular syndesmosis and its clinical relevance. Surg. Radiol. Anat. 25(5-6):379-386, 2003. http://dx.doi.org/10.1007/s00276-003-0156-4
2. Beumer, A; Campo, MM; Niesing, R; et al.: Screw fixation of the syndesmosis: a cadaver model comparing stainless steel and titanium screws and three and four cortical fixation. Injury 36(1):60 - 64, 2005. http://dx.doi.org/10.1016/j.injury.2004.05.024
3. Beumer, A; Valstar, ER; Garling, EH; et al.: Effects of ligament sectioning on the kinematics of the distal tibiofibular syndesmosis. A radiostereometric study of 10 cadaveric specimens based on presumed trauma mechanisms with suggestions for treatment. Acta Orthop. 77(3):531 -540, 2006. http://dx.doi.org/10.1080/17453670610012557
4. Beumer, A; Valstar, ER; Garling, EH; et al.: Kinematics before and after reconstruction of the anterior syndesmosis of the ankle. A prospective radiostereometric and clinical study in 5 patients. Acta Orthop. 76(5):713 - 720, 2005.
5. Beumer, A; Valstar, ER; Garling, EH; et al.: Kinematics of the distal tibiofibular syndesmosis. Radiostereometry in 11 normal ankles. Acta Orthop. Scand. 74(3):337-343, 2003. http://dx.doi.org/10.1080/ 00016470310014283
6. Candal-Couto, JJ; Burrow, D; Bromage, S; Briggs, PJ: Instability of the tibio-fibular syndesmosis: have we been pulling in the wrong direction? Injury 35(8):814-818, 2004. http://dx.doi.org/10.1016/j.injury.2003.10. 013
7. Chissell, HR; Jones, J: The influence of a diastasis screw on the outcome of Weber type-C ankle fractures. J. Bone Joint Surg. Br. 77(3):435-438, 1995.
8. Cottom, JM; Hyer, CF; Philbin, TM; Berlet, GC: Treatment of syndesmotic disruptions with the Arthrex Tightrope:a report of 25 cases. Foot Ankle Int. 29(8):773-780, 2008. http://dx.doi.org/10.3113/FAI.2008.0773
9. Forsythe, K; Freedman, KB; Stover, MD; Patwardhan, AG: Comparison of a novel FiberWire-Button construct versus metallic screw fixation in a syndesmotic injury model. Foot Ankle Int. 29(1):49-54, 2008. http://dx.doi.org/10.3113/FAI.2008.0049
10. Marqueen, T; Owen, J; Nicandri, G; Wayne, J; Carr, J: Comparison of the syndesmotic staple to the transsyndesmotic screw: a biomechanical study. Foot Ankle Int. 26(3):224-230, 2005.
11. Miller, RS; Weinhold, PS; Dahners, LE: Comparison of tricortical screw fixation versus a modified suture construct for fixation of ankle syndesmosis injury: a biomechanical study. J. Orthop. Trauma 13(1):39-42, 1999. http://dx.doi.org/10.1097/00005131-199901000-00009
12. Shoemaker, SC; Markolf, KL: In vivo rotatory knee stability. Ligamentous and muscular contributions. J. Bone Joint Surg. Am. 64(2):208-216, 1982.
13. Taylor, DC; Tenuta, JJ; Uhorchak, JM; Arciero, RA: Aggressive surgical treatment and early return to sports in athletes with grade III syndesmosis sprains. Am. J. Sports Med. 35(11):1833-1838, 2007. http://dx.doi.org/10.1177/0363546507304666
14. Teramoto, A; Kura, H; Uchiyama, E; Suzuki, D; Yamashita, T: Three-dimensional analysis of ankle instability after tibiofibular syndesmosis injuries. A biomechanical experimental study. Am. J. Sports Med. 36(2):348-352, 2008. http://dx.doi.org/10.1177/0363546507308235
15. Thornes, B; Walsh, A; Hislop, M; Murray, P; O'Brien, M: Suture- endobutton fixation of ankle tibio-fibular diastasis: a cadaver study. Foot Ankle Int. 24(2):142-146, 2003.
16. Walsh, S; Frank, C; Shrive, N; Hart, D: Knee immobilization inhibits biomechanical maturation of the rabbit medial collateral ligament. Clin. Orthop. Relat. Res. 297:253-261, 1993.
17. Xenos, JS; Hopkinson, WJ; Mulligan, ME; Olson, EJ; Popovic, NA: The tibiofibular syndesmosis. Evaluation of the ligamentous structures, methods of fixation, and radiographic assessment. J. Bone Joint Surg. Am. 77(6):847-856, 1995.