Suture-Button Syndesmosis Fixation

Thornes, B; Shannon, Fintan J.; Guiney, Anne-Marie; Hession, Paul; Masterson, Eric

doi:10.1097/01.blo.0000151845.75230.a0

Cited by 197 publications

(55 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…After full texts assessed for eligibility, 1 article [14] was excluded, because the main topic of it was the introduction of TightRope fixation technique, besides, another publication [15] demonstrated a same research. Finally, a total number of 10 eligible articles [2, 4, 8, 9, 11, 12, 15–18] that are described in this systematic review. The suture-button fixation group included 196 participates, and 194 patients in the screw fixation group.…”

Section: Resultsmentioning

confidence: 99%

“…At six weeks, Cam boot removal for weightbearing if the syndesmosis appears stable and any associated fractures were healedNRThe TightRope® fiber wire fixation group had a statistically significant better range ofmotion compared to conventional screw fixation. The AOFAS ankle and hindfoot score did not show a significant difference between the two groups at medium term follow-up.Thornes 2005 [18]A below-knee cast for 6 weeks and then full weightbearing at 6 weeks postoperativelyafter cast removal. (2 weeks, patients with stable plate osteosynthesis of the fibula fracture were allowed partial weightbearing up to 50% of body weight with a below-knee cast)A below-knee cast at least for 6 weeks and then full weightbearing at 6 weeks postoperatively after cast removal.NRSuture-button fixation is simple, safe, and effective.…”

Section: Resultsmentioning

confidence: 99%

“…Thornes et al [18] published a retrospective cohort study including 16 patients treated with an early version of suture-button implant and 16 patients treated with traditional screw fixation. The fractures were classified as Weber-C in all cases.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury

Zhang

Liang

et al. 2017

BMC Musculoskelet Disord

119

123

View full text Add to dashboard Cite

BackgroundNow, using a suture-button device to treat distal tibiofibular syndesmotic injuries is overwhelming due to its advantages over screw fixation. Current systematic review was conducted to make a comparison between suture-button fixation and traditionally screw fixation in the treatment of syndesmotic injuries. The outcomes included functional outcomes, implant removal, implant failure, malreduction, post-operative complications (except implant failure and malreduction), and cost-effectiveness aspects.MethodA literature search in the electronic databases of Medline, Embase, the Cochrane Library, Web of Science was conducted to identify studies until March 2017. The references of the included articles were also checked for potentially relevant studies. Only English articles were included. We followed the Preferred Reporting Items for Systematics reviews and Meta-Analysis (PRISMA) guidelines in this review.ResultsFinally, 10 studies were identified, encompassing a total of 390 patients. The mean American Orthopaedic Foot and Ankle Society ankle score (AOFAS) score of 150 patients treated with the suture-button device was 91.06 points, with an average follow-up of 17.58 months, and the mean AOFAS score of 150 patients treated with syndesmotic screws was 87.78 points, with an average follow-up of 17.73 months. Implant removal was reported in 5 of 134 (3.7%) patients treated with the suture-button device, and in 54 of 134 (40.2%) patients treated with the syndesmotic screw. No patient in the suture-button fixation group had implant failure, however the rate of implant failure in the screw fixation group was 30.9%. Malreduction was reported in 1 of 93 (1.0%) patients treated with the suture-button device, and in 12 of 95 (12.6%) patients treated with the syndesmotic screw. The rate of post-operative complications in the suture-button fixation group was 12.0% and 16.4% in the screw fixation group. There was only one publication demonstrated about cost-effectiveness aspects, it showed that patients treated with the suture-button device spent on average $1482 less and had a higher quality of life by 0.058 quality-adjusted life-year compared with patients who received fixation with 2 syndesmotic screws in supination-external rotation type 4 injuries.ConclusionBased on our research, though the suture-button fixation group had similar functional outcome (measured on the AOFAS score) and post-operative complication rate compared with the syndesmotic screw fixation group, the suture-button device could lead to better objective range of motion (ROM) measurements and earlier return to work. Besides, the suture-button fixation group had lower rate of implant removal, implant failure, and malreduction. However, high-quality randomized controlled trials with more uniformity in outcome reporting are desirable to determine the long-term effects and cost-effectiveness of the suture-button device.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury

Zhang

Liang

et al. 2017

BMC Musculoskelet Disord

119

123

View full text Add to dashboard Cite

show abstract

“…Metallic screws are used for fixation implant classically. Besides metallic screws there are some alternatives for fixation which are; bioabsorbable screws, syndesmotic staple, ilizarov ring fixator, kirchner wires, flexible implants (suture buttons), syndesmotic hook, trans-syndesmotic bolt, cerclage wires, ANK nail or ligamentoplasties [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”

Section: Treatmentmentioning

confidence: 99%

“…It is an easy technique, safe, effective and has high patient satisfaction. It is also found cost effective because there is no need for second surgery for implant removal [32].…”

Section: Suture Button Fixationmentioning

confidence: 99%

Suture Button Fixation for Syndesmosis Injuries: Review of the Literature

A¹

2014

Clin Res Foot Ankle

View full text Add to dashboard Cite

Syndesmosis injuries -also known as high ankle sprains-have an increasing popularity because of an increased awareness of diagnosis. Different from lateral ankle sprains, mechanism of injury mostly involves external rotation, eversion and excessive dorsiflexion. Other mechanisms can also cause sydesmosis injuries. Because of high levels of missed injuries the real prevalence of syndesmosis injuries is underestimated. It is less frequently seen than lateral ankle injuries. For diagnosis, physical and radiological examination is essential.In radiological examination, associated injuries must be determined if present. Mostly seen associated injury is ankle fracture. Nonoperative treatment provides good results for syndesmosis injuries. Surgical treatment is indicated when syndesmosis injuries include frank diastasis. Arthroscopic view of syndesmotic instability is another indication. Failed conservative treatment may also be an indication. There are a lot of options for surgical fixation. Screws are the most popular among others but there are some complications about them. Alternatively, suture button fixation technique can be used. Suture button fixation is an implant with two metallic buttons surrounded with thick fiberwire sutures. Its stabilization mechanism depends on compression of two buttons to opposite sites by the help of fiberwire. It is designed to resist diastasis but allows small movement to other planes. It is very suitable for fixation of syndesmosis injuries and also to have less complication rates. Purpose of this study is to discuss the syndesmotic injuries and review the suture button fixation technique for the treatment.

show abstract

Syndesmosis Injuries

Liu¹,

Allen²

2012

International Advances in Foot and Ankle Surgery

View full text Add to dashboard Cite

Suture-Button Syndesmosis Fixation

Cited by 197 publications

References 27 publications

A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury

A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury

Suture Button Fixation for Syndesmosis Injuries: Review of the Literature

Syndesmosis Injuries

Contact Info

Product

Resources

About