Flexible stabilization of the distal tibiofibular syndesmosis: Clinical and biomechanical considerations: A review of the literature

Strategies in Trauma and Limb Reconstruction

Volumn 7, Issue 3, 2012, Pages 123-129

  den Daas, Annick ^a   van Zuuren, Wouter J ^a   Pelet, Stéphane ^b   van Noort, Arthur ^a   van den Bekerom, Michel P J ^a  

^a Department of Orthopaedic Surgery   (Netherlands)

^b UNIVERSITÉ LAVAL   (Canada)

Author keywords

Ankle fracture; Biomechanical; Flexible implant; Instability; Screw; Syndesmosis

Indexed keywords

EID: 84868198098     PISSN: 18288936     EISSN: 18288928     Source Type: Journal    
DOI: 10.1007/s11751-012-0147-2     Document Type: Review

References (42)

1. Ahl T, Dalen N, Lundberg A et al (1987) Mobility of the ankle mortise. A roentgen stereophotogrammetric analysis. Acta Orthop Scand 58(4): 401-402.
2. Bartonicek J (2003) Anatomy of the tibio-fibular syndesmosis and its clinical relevance. Surg Radiol Anat 25(5-6): 379-386.
3. Beumer A, Valstar ER, Garling EH et al (2003) Kinematics of the distal tibio-fibularsyndesmosis: radiostereometry in 11 normal ankles. Acta Orthop Scand 74(3): 337-343.
4. Bostman OM, Pihlajamaki HK (2000) Adverse tissue reactions to bioabsorbable fixation devices. Clin Orthop 371: 216-227.
5. Brown OL, Dirschl DR, Obremskey WT (2001) Incidence of hardware-related pain and its effect on functional outcomes after open reduction and internal fixation of ankle fractures. J Orthop Trauma 15(4): 271-274.
6. Cottom JM, Hyer CF, Philbin TM et al (2008) Treatment of syndesmotic disruptions with the Arthrex Tightrope: a report of 25 cases. Foot Ankle Int 29(8): 773-780.
7. Cottom JM, Hyer CF, Philbin TM et al (2009) Transosseous fixation of the distal tibio-fibular syndesmosis: comparison of an interosseous suture and endobutton to traditional screw fixation in 50 cases. J Foot Ankle Surg 48(6): 620-630.
8. De Groot H, Al-Omari AA, El Ghazaly SA (2011) Outcomes of suture button repair of the distal tibio-fibular syndesmosis. Foot Ankle Int 32(3): 250-256.
9. De Souza LJ, Gustillo RB, Meijer TJ (1985) Results of operative treatment of displaced external rotation-abduction fractures of the ankle. JBJS Am 67(7): 1066-1074.
10. Forsythe K, Freedman KB, Stover MD et al (2008) Comparison of a novel fiberwire-button construct versus metallic screw fixation in a syndesmotic injury model. Foot Ankle Int 29(1): 49-54.
11. Fritschy D (1989) An unusual ankle injury in top skiers. Am J Sports Med 17: 282-285.
12. Hahn DM, Colton CL (2000) Fractures of the malleoli. In: Ruedi TP, Murphy WM, Colton CL et al. (eds) AO principles of fracture management. AO publishing, Davos, p 581.
13. Hamid N, Loeffler BJ, Braddy W, Kellam JF, Cohen BE, Bosse MJ (2009) Outcome after fixation of ankle fractures with an injury to the syndesmosis: the effect of the syndesmosis screw. J Bone Joint Surg Br 91(8): 1069-1073.
14. Hansen L (1950) N: fractures of the ankle. II. Combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg 60: 957-985.
15. Kennedy JG, Soffe KE, DallaVedova P et al (2000) Evaluation of the syndesmotic screw in low Weber C ankle fractures. J Orthop Trauma 14(5): 359-366.
16. Kerkhoffs GM, Rowe BH, Kelly K et al. (2002) Immobilisation and functional treatment for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev 3(3): CD003762.
17. Klitzman R, Zhao H, Zhang LQ et al (2010) Suture-button versus screw fixation of the syndesmosis: a biomechanical analysis. Foot Ankle Int 31(1): 69-75.
18. Lundberg A (1989) Kinematics of the ankle and foot- in vivo roentgen stereophotogrammetry. Acta Orthop Scand Suppl 223: 1-24.
19. Marqueen T, Owen J, Nicandri G et al (2006) Comparison of the syndesmosis staple to the transsyndesmotic screw; a biomechanical study. Foot Ankle Int 26: 224-230.
20. Michelson J, Solocoff D, Waldmann B et al (1997) Ankle fractures; the Lauge-Hansen classification revised. Clin Orthop 345: 198-205.
21. Miller CD, Shelton WR, Barret GR et al (1995) Deltoid and syndesmosis ligament injury of the ankle without fracture. Am J Sports Med 23: 746-750.
22. Miller RS, Weinhold PS, Dahners LE (1999) 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.
23. Muller ME, Brandi W (1970) Manuel of internal fixation; techniques recommended by the AO group. Springer, New York.
24. Ogilvie-Harris DJ, Reed SC, Hedman TP (1994) Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints. Arthroscopy 10(5): 558-560.
25. Pankovich AM (1976) Maisonneuve fractures of the fibula. JBJS Am 58: 337-342.
26. Peter RE, Harrington RM, Henley MB et al (2004) Biomechanical effects of internal fixation of the distal tibio-fibular syndesmotic joint: comparison of two fixation techniques. J Orthop Trauma 8(3): 215-219.
27. Raahave D (1976) Postoperative wound infection after implant and removal of osteosynthetic material. Acta Orthop Scand 47(1): 28-35.
28. Richards RH, Palmer JD, Clarke NM (1992) Observations on removal of metal implants. Injury 23(1): 25-28.
29. Roberts RS (1983) Surgical treatment of displaced ankle fractures. Clin Orthop 172: 164-170.
30. Sanderson PL, Ryan W, Turner PG (1992) Complications of metalwork removal. Injury 23(1): 29-30.
31. Scranton Jr PE, McMaster JG, Kelly E (1976) Dynamic fibular function: a new concept. Clin Orthop Relat Res 118: 76-81.
32. Scraton Jr PE, McMaster JG, Kelly E (1976) Dynamic fibular function; a new concept. Clin Orthop 118: 76-81.
33. Shoemaker SC, Kl M (1982) In vivo rotary knee stability. Ligamentous and muscular conditions. JBJS Am 64(2): 208-216.
34. Sinisaari I, Patiala H, Bostman O et al (1996) Metallic or absorbable implants for ankle fractures: a comparative study of infections in 3, 111 cases. Acta Orthop Scand 67(1): 16-18.
35. Soin SP, Knight TA, Dinah AF et al (2009) Suture-button versus screw fixation in a syndesmosis rupture model: a biomechanical comparison. Foot Ankle Int 30(4): 346-352.
36. Thornes B, McCartan D (2006) Ankle syndesmosis injuries treated with the Tightrope Suture-Button Kit. Tech Foot Ankle Surg. 5: 45-53.
37. Thornes B, Walsh A, Hislop M et al (2003) Suture-endobutton fixation of ankle tibio-fibular diastasis: a cadaver study. Foot Ankle Int 24(2): 142-146.
38. Thornes B, Shannon F, Guiney AM et al (2005) Suture-button syndesmosis fixation: accelerated rehabilitation and improved outcomes. Clin Orthop Relat Res 431: 207-212.
39. Tornetta P 3rd, Spoo JE, Reynolds FA et al (2001) Overtightening of the ankle syndesmosis; is it really possible? JBJS Am 83-A(4): 489-492.
40. van den Bekerom MPJ, Raven EEJ (2007) Current concepts review: operative techniques for stabilizing the distal tibio-fibular syndesmosis. Foot Ankle Int 28: 1302-1308.
41. Veltri DM, Pagnani MJ, O'Brien SJ et al (1995) Symptomatic ossification of the tibio-fibularsyndesmosis in professional football players; a sequela of the syndesmotic ankle sprain. Foot Ankle Int 16: 285-290.
42. Willmott HJ, Singh B, David LA (2009) Outcome and complications of treatment of ankle diastasis with tightrope fixation. Injury 40(11): 1204-1206.