Pathologic Tibia/Fibula Fracture Through a Suture Button Screw Tract

Acute distal tibiofibular syndesmosis injury: a systematic review of suture-button versus syndesmotic screw repair

“…A synostosis was also reported by Mason et al [33]. Hohman et al reported a distal tibial fracture two years after the placement of a suture-button [22]. These complications are however not specifically related to the use of a suture-button and similar complications occur also with the use of syndesmotic screws [2, 6, 7, 31, 48, 50].…”

“…In some studies, osteolysis, subsidence of the implant and enlargement of the tibial drill-hole at longer follow-up have been noted. Several authors therefore advise continued follow-up to monitor these effects and their possible influence on outcome [14, 22, 61]. …”

Quantitative Analysis of Torsional Stiffness in Supplemental One-Third Tubular Plate Fixation in the Management of Isolated Syndesmosis Injuries

“…Three recent reports presented patients who had sustained fractures in the context of syndesmotic fixation. 6,10,13 The first patient sustained an isolated syndesmotic injury and was managed with suture button fixation. This patient later presented with a fracture of both the distal tibia and fibula through the drill hole.…”

“…This patient later presented with a fracture of both the distal tibia and fibula through the drill hole. 13 Two other patients had sustained ankle fractures with syndesmotic injury and were managed with plate osteosynthesis and a single syndesmotic screw, which were subsequently removed. The plate and screw constructs in each case had been left intact on the fibula.…”

Akut ve kronik sindesmoz yaralanmaları

“…[76] Vidalarda da görü-lebilen düğme dikişlerin nadir bir komplikasyonu distal tibia kırığıdır. [77,78] Düğme dikişler, sindesmoz tespitinde güvenilir bir alternatif olarak değerlendirilmelidir.…”