Effect of suture anchor technology in treatment of patients with distal tibiofibular syndesmosis injury

CHEN Pengtao; WANG Jingcheng; HE Jinshan; ZHANG Pei; ZHANG Jiale; LIANG Yuan

doi:10.7619/jcmp.20212976

Journal of Clinical Medicine in Practice > 2022 > 26(4): 89-91. > DOI: 10.7619/jcmp.20212976

CHEN Pengtao, WANG Jingcheng, HE Jinshan, ZHANG Pei, ZHANG Jiale, LIANG Yuan. Effect of suture anchor technology in treatment of patients with distal tibiofibular syndesmosis injury[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 89-91. DOI: 10.7619/jcmp.20212976

Citation:

PDF (591 KB)

Effect of suture anchor technology in treatment of patients with distal tibiofibular syndesmosis injury

Department of Orthopedics, Clinical Medical College of Yangzhou University, Subei People's Hospital of Jiangsu Province, Yangzhou, Jiangsu, 225001

More Information

Received Date: December 24, 2021
Available Online: March 21, 2022
Published Date: February 27, 2022

Graphical Abstract

Abstract

Abstract

Objective To investigate the surgical method and clinical effect of suture anchor fixation in the treatment of patients with distal tibiofibular syndesmosis injury.
Methods A total of 63 patients with distal tibiofibular syndesmosis injury were selected and divided into suture anchor group (n=34) and metal screw group (n=29). All the patients were diagnosed based on medical history, physical examination and imaging examination, and surgical treatment was performed according to the classification of ankle fracture (Lauge-Hansen); X-ray and CT measurements were used to evaluate the impaired and repair conditions of lower tibiofibular syndesmosis injury; clinical efficacy was evaluated by the American Orthopedic Foot & Ankle Society (AOFAS).
Results A total of 58 patients were followed up, 30 patients in the conventional suture anchor group were followed up for 24 months (13~42 months), and 28 patients in the metal screw group were followed up for 25 months (15~42 months). No complications such as postoperative incision infection, loose and broken of internal fixation, and failure of fixation of lower tibiofibular syndesmosis were observed in all the patients. X-ray and CT measurement showed that the lower tibiofibular syndesmosis injury in both groups improved significantly when compared with that before operation, and the difference of AOFAS score between the two groups was statistically significant (P < 0.05).
Conclusion Suture anchor fixation of lower tibiofibular syndesmosis conforms to standard of elastic fixation, which can avoid removal of secondary operation. Fine surgical techniques and anatomy of lower tibiofibular syndesmosis enable patients to obtain good ankle function recovery, and suture anchor fixation is one of the effective methods for treatment of lower tibiofibular syndesmosis injury.
- distal tibiofibular syndesmosis injury,
- suture anchor,
- flexible fixation,
- ankle joint,
- American Orthopedic Foot & Ankle Society

FullText(HTML)

References (22)

References

[1]	DELAHUNT E, FARRELL G, BOYLAN A, et al. Mechanisms of acute ankle syndesmosis ligament injuries in professional male rugby union players: a systematic visual video analysis[J]. Br J Sports Med, 2021, 55(12): 691-696. doi: 10.1136/bjsports-2020-102281
[2]	LEE J S, CURNUTTE B, PAN K R, et al. Biomechanical comparison of suture-button, bioabsorbable screw, and metal screw for ankle syndesmotic repair: a meta-analysis[J]. Foot Ankle Surg, 2021, 27(2): 117-122. doi: 10.1016/j.fas.2020.03.008
[3]	PANG E Q, BEDIGREW K, PALANCA A, et al. Ankle joint contact loads and displacement in syndesmosis injuries repaired with Tightropes compared to screw fixation in a static model[J]. Injury, 2019, 50(11): 1901-1907. doi: 10.1016/j.injury.2019.09.012
[4]	YU M Y, ZHANG Y, SU Y, et al. An anthropometric study of distal tibiofibular syndesmosis (DTS) in a Chinese population[J]. J Orthop Surg Res, 2018, 13(1): 95. doi: 10.1186/s13018-018-0804-3
[5]	ZHANG P, LIANG Y, HE J S, et al. A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury[J]. BMC Musculoskelet Disord, 2017, 18(1): 286. doi: 10.1186/s12891-017-1645-7
[6]	JEONG B O, BAEK J H, SONG W J. Ankle arthritis combined with chronic instability of the syndesmosis after ankle fracture with syndesmotic injury: a case report[J]. J Foot Ankle Surg, 2018, 57(5): 1000-1004. doi: 10.1053/j.jfas.2017.11.038
[7]	CORNU O, MANON J, TRIBAK K, et al. Traumatic injuries of the distal tibiofibular syndesmosis[J]. Orthop Traumatol Surg Res, 2021, 107(1S): 102778.
[8]	SAGI H C, SHAH A R, SANDERS R W. The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up[J]. J Orthop Trauma, 2012, 26(7): 439-443. doi: 10.1097/BOT.0b013e31822a526a
[9]	田晨阳, 陈斌, 孙正涛, 等. Suture-Button固定与螺钉固定治疗下胫腓联合损伤的Meta分析[J]. 中国组织工程研究, 2020, 24(3): 485-492. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF202003027.htm
[10]	ONGGO J R, NAMBIAR M, PHAN K, et al. Suture button versus syndesmosis screw constructs for acute ankle diastasis injuries: a meta-analysis and systematic review of randomised controlled trials[J]. Foot Ankle Surg, 2020, 26(1): 54-60. doi: 10.1016/j.fas.2018.11.008
[11]	NEARY K C, MORMINO M A, WANG H M. Suture button fixation versus syndesmotic screws in supination-external rotation type 4 injuries: a cost-effectiveness analysis[J]. Am J Sports Med, 2017, 45(1): 210-217. doi: 10.1177/0363546516664713
[12]	梁远, 陈鹏涛, 何金山, 等. 微型钢板结合suture-anchor固定不稳定性锁骨远端骨折一例[J]. 中华手外科杂志, 2019, 35(4): 320-320. doi: 10.3760/cma.j.issn.1005-054X.2019.04.036
[13]	胡金龙, 王骅, 王静成, 等. 缝合锚钉结合Krackow法治疗髌骨中下极粉碎性骨折的效果[J]. 实用临床医药杂志, 2019, 23(23): 95-97. doi: 10.7619/jcmp.201923029
[14]	LEE J H, PARK I, HYUN H S, et al. Comparison of clinical outcomes and computed tomography analysis for tunnel diameter after arthroscopic bankart repair with the all-suture anchor and the biodegradable suture anchor[J]. Arthroscopy, 2019, 35(5): 1351-1358. doi: 10.1016/j.arthro.2018.12.011
[15]	罗志勇, 秦舒, 廖宗武, 等. 下胫腓联合螺钉内固定治疗急性踝关节骨折伴三角韧带损伤的效果观察[J]. 实用临床医药杂志, 2021, 25(12): 86-89. doi: 10.7619/jcmp.20210971
[16]	吴晓峰, 夏春林, 孙斌峰, 等. 带线锚钉krackow-Bunnell缝合法结合钢丝减张法治疗髌骨下极撕脱性骨折[J]. 中医正骨, 2015, 27(1): 49-50, 53. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZG201501020.htm
[17]	汤峰, 王勤业, 徐忠良, 等. 缝合锚弹性固定生理重建修复下胫腓联合损伤[J]. 中国组织工程研究, 2013, 17(30): 5466-5471. doi: 10.3969/j.issn.2095-4344.2013.30.008
[18]	梁远, 王静成, 何金山, 等. 缝合锚钉固定下胫腓联合损伤对距骨应力分布影响的有限元分析[J]. 海南医学, 2018, 29(15): 2097-2099. doi: 10.3969/j.issn.1003-6350.2018.15.008
[19]	向成浩, 舒舒, 邓君, 等. 带线锚钉内固定联合Krackow缝合技术治疗髌骨下极骨折疗效观察[J]. 中国骨与关节损伤杂志, 2021, 36(10): 1068-1070. doi: 10.7531/j.issn.1672-9935.2021.10.019
[20]	汤样华, 曾林如, 胡中青, 等. 缝合锚钉技术固定治疗下胫腓联合损伤[J]. 临床骨科杂志, 2017, 20(5): 621-622. doi: 10.3969/j.issn.1008-0287.2017.05.044
[21]	卢耀甲, 费文勇, 熊传芝, 等. 缝合锚钉与钩钢板治疗急性肩锁关节脱位的疗效比较[J]. 实用临床医药杂志, 2020, 24(10): 21-24. doi: 10.7619/jcmp.202010005
[22]	留成胜, 聂俊, 郑建平, 等. 带线锚钉弹性固定治疗Maisonneuve骨折下胫腓联合损伤[J]. 临床骨科杂志, 2018, 21(6): 764. doi: 10.3969/j.issn.1008-0287.2018.06.054

Cited By

Cited by

Periodical cited type(1)

孙佩佩，马丽丽，丁露碟，张浙恩. 应激性高血糖比值与伴2型糖尿病的急性心肌梗死患者急诊PCI术后预后的关系. 心电与循环. 2024(06): 594-597 .

Other cited types(0)

Get Citation

PDF

XML

Article views (212) PDF downloads (11) Cited by(1)

Turn off MathJax

Article Contents

Abstract

References

Effect of suture anchor technology in treatment of patients with distal tibiofibular syndesmosis injury

Abstract

References

Cited by

Periodical cited type(1)

Other cited types(0)

Catalog

Export File

Citation

Format

Content