Dataset Information

Treatment of Instability of the Proximal Tibiofibular Joint by Dynamic Internal Fixation With a Suture Button.

ABSTRACT: Injury to the proximal tibiofibular joint can lead to lateral knee pain and instability owing to chronic rupture of the posterior tibiofibular ligament. The condition is often missed, and the true incidence is unknown. A variety of surgical treatments have been proposed over the last decades. Methods such as arthrodesis and fibular head resection have largely been replaced with various reconstruction techniques using autografts. The purpose of this report is to describe our method for treatment of proximal tibiofibular joint instability by dynamic internal fixation with a suture button.

SUBMITTER: Oksum M

PROVIDER: S-EPMC6203635 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Treatment of Instability of the Proximal Tibiofibular Joint by Dynamic Internal Fixation With a Suture Button.

Oksum Mads M Randsborg Per-Henrik PH

Arthroscopy techniques 20180924 10

Injury to the proximal tibiofibular joint can lead to lateral knee pain and instability owing to chronic rupture of the posterior tibiofibular ligament. The condition is often missed, and the true incidence is unknown. A variety of surgical treatments have been proposed over the last decades. Methods such as arthrodesis and fibular head resection have largely been replaced with various reconstruction techniques using autografts. The purpose of this report is to describe our method for treatment ...[more]

PMID: 30377586

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Project description:PurposeRecently, a new suture-button fixation device has emerged for the treatment of acute distal tibiofibular syndesmotic injuries and its use is rapidly increasing. The current systematic review was undertaken to compare the biomechanical properties, functional outcome, need for implant removal, and the complication rate of syndesmotic disruptions treated with a suture-button device with the current 'gold standard', i.e. the syndesmotic screw.MethodA literature search in the electronic databases of the Cochrane Library, EMbase, Pubmed Medline, and Google Scholar, between January 1st 2000 to December 1st 2011, was conducted to identify studies in which unstable ankle fractures with concomitant distal tibiofibular syndesmotic injury were treated with either a syndesmotic screw or a suture-button device.ResultsA total of six biomechanical studies, seven clinical full-text studies and four abstracts on the TightRope system, and 27 studies on syndesmotic screw or bolt fixation were identified. The AOFAS of 133 patients treated with TightRope was 89.1 points, with an average study follow-up of 19 months. The AOFAS score in studies with 253 patients treated with syndesmotic screws (metallic and absorbable) or bolts was 86.3 points, with an average study follow-up of 42 months. Two studies reported an earlier return to work in the TightRope group. Implant removal was reported in 22 (10%) of 220 patients treated with a TightRope (range, 0-25%), in the screw or bolt group the average was 51.9% of 866 patients (range, 5.8-100%).ConclusionThe TightRope system has a similar outcome compared with the syndesmotic screw or bolt fixation, but might lead to a quicker return to work. The rate of implant removal is lower than in the syndesmotic screw group. There is currently insufficient evidence on the long-term effects of the TightRope and more uniform outcome reporting is desirable. In addition, there is a need for studies on cost-effectiveness of the treatment of acute distal tibiofibular syndesmotic disruption treated with a suture-button device.

Dataset Information

Treatment of Instability of the Proximal Tibiofibular Joint by Dynamic Internal Fixation With a Suture Button.

Publications

Treatment of Instability of the Proximal Tibiofibular Joint by Dynamic Internal Fixation With a Suture Button.

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