Transosseous Fixation of the Distal Tibiofibular Syndesmosis: Comparison of an Interosseous Suture and Endobutton to Traditional Screw Fixation in 50 Cases

Journal of Foot and Ankle Surgery

Volumn 48, Issue 6, 2009, Pages 620-630

  Cottom, James M ^a   Hyer, Christopher F ^b   Philbin, Terrence M ^b   Berlet, Gregory C ^c  

^a SARASOTA MEMORIAL HOSPITAL   (United States)

^b Orthopedic Foot and Ankle Center   (United States)

^c OHIO STATE UNIVERSITY   (United States)

Author keywords

ankle; diastasis; fracture; sprain; syndesmosis; TightRope

Indexed keywords

ADOLESCENT; ADULT; ANKLE FRACTURE; ARTICLE; BONE RADIOGRAPHY; BONE SCREW; CLINICAL ARTICLE; COHORT ANALYSIS; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DISTAL TIBIOFIBULAR SYNDESMOSIS; FEMALE; FRACTURE FIXATION; HEALTH STATUS; HUMAN; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; OSTEOSYNTHESIS; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; PROSPECTIVE STUDY; SCORING SYSTEM; SHORT FORM 12; STUDENT T TEST; SURGICAL TECHNIQUE; WEIGHT BEARING;

ADOLESCENT; ADULT; AGED; ANKLE INJURIES; ARTHROSCOPY; BONE SCREWS; FEMALE; FOLLOW-UP STUDIES; FRACTURE FIXATION, INTERNAL; FRACTURES, BONE; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; QUESTIONNAIRES; RANGE OF MOTION, ARTICULAR; SUTURE TECHNIQUES; TREATMENT OUTCOME; YOUNG ADULT;

EID: 72049114705     PISSN: 10672516     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.jfas.2009.07.013     Document Type: Article

References (39)

1. Court-Brown C.M., McBirnie J., and Wilson G. Adult ankle fractures: an increasing problem?. Acta Orthop Scand 69 (1998) 43-47
2. Beris A.E., Kabbani K.T., Xenakis T.A., Mitsionis G., Soucacos P.K., and Soucacos P.N. Surgical treatment of malleolar fractures: a review of 144 patients. Clin Orthop Relat Res 341 (1997) 90-98
3. Gerber J.P., Williams G.N., Scoville C.R., Arciero R.A., and Taylor D.C. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int 19 (1998) 653-660
4. Williams G.N., Jones M.H., and Amendola A. Syndesmotic ankle sprains in athletes. Am J Sports Med 35 (2007) 1197-1207
5. Hopkinson W.J., St. Pierre P., Ryan J.B., and Wheeler J.H. Syndesmosis sprains of the ankle. Foot Ankle Int 10 (1990) 325-330
6. Cottom J.M., Hyer C.F., Philbin T.M., and Berlet G.C. Treatment of syndesmotic disruptions with the Arthrex Tightrope: a report of 25 cases. Foot Ankle Int 29 8 (2008) 773-780
7. Lauge-Hänsen N., and Ankelbrud I. Genetisk diagnose og reposition. [dissertation] (1942), Munksgaard, Copenhagen
8. Muller ME, Nazrian S, Koch P, Schatzker J. The Comprehensive Classification of Fractures of Long Bones, pp 170-179, Springer-Verlag, Berlin, 1990.
9. Leeds H.C., and Ehrlich M.G. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. J Bone Joint Surg Am 66 (1984) 490-503
10. Roberts R.S. Surgical treatment of displaced ankle fractures. Clin Orthop 172 (1983) 164-170
11. Yablon I.G., and Leach R.E. Reconstruction of malunited fractures of the lateral malleolus. J Bone Joint Surg Am 71 (1989) 521-527
12. Ebraheim N.A., Elgafy H., and Padanilam T. Syndesmotic disruption in low fibular fractures associated with deltoid ligament injury. Clin Orthop (2003) 260-267
13. Burns W.C., Prakash K., Adelaar R., Beaudoin A., and Krause W. Tibiotalar joint dynamics: indications for the syndesmotic screw-a cadaver study. Foot Ankle Int 14 (1993) 153-158
14. Boytim M.J., Fischer D.A., and Neumann L. Syndesmotic ankle sprains. Am J Sports Med 19 (1991) 284-298
15. Rose J.D., Flanigan P.K., and Mlodzienski A. Tibiofibular diastasis without ankle fracture: a review and report of two cases. J Foot Ankle Surg 41 (2002) 44-51
16. Edwards G.S., and DeLee J.C. Ankle diastasis without fracture. Foot Ankle Int 4 (1984) 305-312
17. Miller C.D., Shelton W.R., Barrett G.R., Savoie F.H., and Dukes A.D. Deltoid and syndesmosis ligament injury of the ankle without fracture. Am J Sports Med 23 (1995) 746-750
18. Wilson M.J., Michelle A.A., and Jacobson E.W. Ankle dislocations without fracture. J Bone Joint Surg Am 21 (1939) 198-204
19. Teitz C.C., and Harrington R.M. A biomechanical analysis of the squeeze test for sprains of the syndesmotic ligaments of the ankle. Foot Ankle Int 19 (1996) 489-492
20. Clanton T., and Paul P. Syndesmosis injuries in athletes. Foot Ankle Clin 7 (2002) 529-549
21. Gardner M.J., Demetrakopoulos D., Briggs S.M., Helfet D.L., and Lorich D.G. Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int 27 (2006) 788-792
22. Bozic K.J., Jaramillo D., DiCanzio J., Zurakowski D., and Kasser J.R. Radiographic appearance of the normal distal tibiofibular syndesmosis in children. J Pediatr Orthop 19 (1999) 14-21
23. Harper M.C., and Keller T.S. A radiographic evaluation of the tibiofibular syndesmosis. Foot Ankle Int 10 (1989) 156-160
24. Takao M., Ochi M., Oae K., Naito K., and Uchio Y. Diagnosis of a tear of the tibiofibular syndesmosis. The role of arthroscopy of the ankle. J Bone Joint Surg Br 85 (2003) 324-329
25. Sclafani S.J. Ligamentous injury of the lower tibiofibular syndesmosis: radiographic evidence. Radiology 156 (1985) 21-27
26. Ostrum R.F., De Meo P., and Subrananian R. A critical analysis of the anterior-posterior radiographic anatomy of the ankle syndesmosis. Foot Ankle Int 16 (1995) 128-131
27. American Academy of Orthopaedic Surgeons. Ankle and foot trauma. In Orthopaedic Knowledge Update 5, pp 515-524 (1996), American Academy of Orthopaedic Surgeons, Rosemont, IL
28. Leeds H.C., and Ehrlich M.G. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. J Bone Joint Surg Am 66 (1984) 490-503
29. Zalavras C., and Thordarson D. Ankle syndesmotic injury. J Am Acad Orthop Surg 15 (2007) 330-339
30. Xenos J., Hopkinson W., Mulligan M., Olson E., and Popovic N. The tibiofibular syndesmosis. J Bone Joint Surg Am 77 (1995) 847-856
31. Close J.R. Some applications of the functional anatomy of the ankle joint. J Bone Joint Surg Am 38 (1956) 761-781
32. Moore J.A., Shank J.R., Morgan S.J., and Smith W.R. Syndesmosis fixation: a comparison of three and four cortices of screw fixation without hardware removal. Foot Ankle Int 27 (2006) 567-572
33. Chissell H.R., and Jones J. The influence of a diastasis screw on the outcome of Weber type-c ankle fractures. J Bone Joint Surg Br 77 (1995) 435-438
34. Harris I.A., and Jones H.P. The fate of the syndesmosis in type C ankle fractures: a cadaveric study. Injury 28 (1997) 275-277
35. Reckling F.W., McNamara G.R., and DeSmett A.A. Problems in the diagnosis and treatment of ankle injuries. J Trauma 21 (1981) 943-950
36. Seitz W.H., Bachner E.J., Abram L.J., Postak P., Polando G., and Greenwald S.A. Repair of the tibiofibular syndesmosis with a flexible implant. J Orthop Trauma 5 1 (1991) 78-82
37. Thornes B., Shannon F., Guiney A.M., Hession P., and Masterson E. Suture-button syndesmosis fixation accelerated rehabilitation and improved outcomes. Clin Orthop Relat Res 431 (2005) 207-212
38. Thornes B., Walsh A., Hislop M., Murray P., and O'Brien M. Suture-endobutton fixation of ankle tibio-fibular diastasis: a cadaver study. Foot Ankle Int 24 (2003) 142-146
39. Beumer A., Valstar E.R., Garling E.H., Niesing R., Ranstam J., Löfvenberg R., and Swierstra B.A. Kinematics of the distal tibiofibular syndesmosis: radiostereometry in 11 normal ankles. Acta Orthop Scand 74 (2003) 337-343