Outcome and complications of treatment of ankle diastasis with tightrope fixation

Willmott, Henry; Singh, Bijayendra; David, L.

doi:10.1016/j.injury.2009.05.008

Cited by 112 publications

(79 citation statements)

References 15 publications

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“…Authors have advised caution in the use of this suture for Achilles tendon repair. 12,18 Absorbable polyglactin suture could be an option. It will be absorbed from the repair site at 3 or 4 months after surgery and lowers the chance of foreign body reaction.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Absorbable and Nonabsorbable Sutures for Repair of Achilles Tendon Rupture With a Suture-Guiding Device

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Evaluation of Absorbable and Nonabsorbable Sutures for Repair of Achilles Tendon Rupture With a Suture-Guiding Device

et al. 2015

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“…Average age at the time of injury was 22 years (SD 3.3, range [17][18][19][20][21][22][23][24][25][26][27][28]. Players had no current or past medical report of note and their main complaint was pain, instability and reduced ability to weight bear in the affected ankle.…”

Section: Patient Informationmentioning

confidence: 99%

Ankle syndesmosis repair and rehabilitation in professional rugby league players: a case series report

Latham

Goodwin

Stirling³

et al. 2017

BMJ Open Sport Exerc Med

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Background/aimThe distal tibiofibular joint is described as a syndesmosis. Traditionally, severe syndesmotic injuries with diastasis have been treated surgically with screw fixation. This case series details an ankle syndesmosis tightrope repair and an accelerated rehabilitation protocol that reduces the amount of time to return to professional rugby league in the UK. The aim of this study was to describe players’ journey from injury, through diagnosis to surgery, rehabilitation and return to participation, detailing time scales and methods used at each stage to highlight the change in current practice.MethodsPlayers were identified via a single orthopaedic surgeon in the UK who specialises in ankle syndesmosis repair. Between January 2010 and September 2015, adult men playing full-time professional rugby league in the UK Super League with ankle syndesmosis injuries were identified.ResultsEighteen players from six different clubs were included. The most common mechanism of injury was forced dorsiflexion/eversion. The average return to participation was 64 days (SD 17.2, range 38–108). This compares favourably to reports of between 120 and 180 days following screw fixation.ConclusionAnkle syndesmosis tightrope repair and an accelerated rehabilitation protocol is as safe as traditional methods. The accelerated rehabilitation protocol promotes early weight-bearing and has shown to expedite the return to sport for professional Rugby League players. It is possible to return to sport 2 months after a tightrope repair and accelerated rehabilitation, compared with 3–6 months post screw fixation. This is extremely encouraging for the professional sporting population.

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“…[130][131][132][133][134][135][136][137][138][139][140][141][142][143][144] A hole is drilled through the fibula and tibia, and then a suture is passed through and secured on both ends via a metallic button. Systematic reviews of low levels of clinical evidence have demonstrated similar functional outcomes, with quicker return to work and less frequent need for implant removal.…”

Section: Dynamic Fixationmentioning

confidence: 99%

Acute and Chronic Injuries to the Syndesmosis

Switaj

Mendoza

Kadakia

2015

Clinics in Sports Medicine

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Outcome and complications of treatment of ankle diastasis with tightrope fixation

Cited by 112 publications

References 15 publications

Evaluation of Absorbable and Nonabsorbable Sutures for Repair of Achilles Tendon Rupture With a Suture-Guiding Device

Evaluation of Absorbable and Nonabsorbable Sutures for Repair of Achilles Tendon Rupture With a Suture-Guiding Device

Ankle syndesmosis repair and rehabilitation in professional rugby league players: a case series report

Acute and Chronic Injuries to the Syndesmosis

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