Treatment of Syndesmosis Disruptions With TightRope Fixation

Coetzee, J. N.; Ebeling, Patrick B.

doi:10.1097/btf.0b013e3181757476

Cited by 45 publications

(33 citation statements)

References 18 publications

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“…The tibia and fibula are connected distally by the syndesmosis to provide a tight mortise for the talar dome (1). The syndesmosis is composed of anterior and posterior inferior tibiofibular ligaments and a central interosseous ligament that extends proximally, forming the interosseous membrane (2).…”

mentioning

confidence: 99%

Weber C Ankle Fractures: A Retrospective Audit of Screw Number, Size, Complications, and Retrieval Rates

Walker

Willis

2015

The Journal of Foot and Ankle Surgery

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mentioning

confidence: 99%

Weber C Ankle Fractures: A Retrospective Audit of Screw Number, Size, Complications, and Retrieval Rates

Walker

Willis

2015

The Journal of Foot and Ankle Surgery

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“…In their prospective serie suture button (Tight-Rope, Arthrex Inc.) group had similar results when compared to screw group but suture button group had better range of motion measurement, less stiffness and less discomfort [47].…”

Section: Suture Button Fixationmentioning

confidence: 62%

Suture Button Fixation for Syndesmosis Injuries: Review of the Literature

A¹

2014

Clin Res Foot Ankle

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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.

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“…They suggest that "patients in the TightRope group have demonstrated better objective range-of-motion measurements and subjectively reported less stiffness and discomfort." AOFAS ankle/ hindfoot scores were higher in the suture button technique at an average of 18 months follow-up, although this did not reach statistical significance [70]. Naqvi et al [51••] recently showed, in a prospective cohort study, that fixation with a suture button provides a more accurate method of syndesmotic stabilization, as compared with screw fixation, with equivalent clinical outcomes.…”

Section: Suture Button Fixationmentioning

confidence: 99%

“…In fact, a JAAOS review article on syndesmosis injuries published only 6 years before this article makes no mention of the suture button device [46]. The use of a suture device provides equivalent [69] or improved [44,70] clinical outcomes, as compared with a fourcortical syndesmotic screw. Coetzee and Eberling [70] published their preliminary results of a prospective randomized trial comparing suture button with screw fixation.…”

Section: Suture Button Fixationmentioning

confidence: 99%

“…The use of a suture device provides equivalent [69] or improved [44,70] clinical outcomes, as compared with a fourcortical syndesmotic screw. Coetzee and Eberling [70] published their preliminary results of a prospective randomized trial comparing suture button with screw fixation. They suggest that "patients in the TightRope group have demonstrated better objective range-of-motion measurements and subjectively reported less stiffness and discomfort."…”

Section: Suture Button Fixationmentioning

confidence: 99%

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Syndesmosis injuries

Hunt

2013

Curr Rev Musculoskelet Med

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Traumatic injuries to the distal tibiofibular syndesmosis commonly result from high-energy ankle injuries. They can occur as isolated ligamentous injuries and can be associated with ankle fractures. Syndesmotic injuries can create a diagnostic and therapeutic challenge for musculoskeletal physicians. Recent literature has added considerably to the body of knowledge pertaining to injury mechanics and treatment outcomes, but there remain a number of controversies regarding diagnostic tests, implants, techniques, and postoperative protocols. Use of the novel suture button device has increased in recent years and shows some promise in clinical and cadaveric studies. This article contains a review of syndesmosis injuries, including anatomy and biomechanics, diagnosis, classification, and treatment options.

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Treatment of Syndesmosis Disruptions With TightRope Fixation

Cited by 45 publications

References 18 publications

Weber C Ankle Fractures: A Retrospective Audit of Screw Number, Size, Complications, and Retrieval Rates

Weber C Ankle Fractures: A Retrospective Audit of Screw Number, Size, Complications, and Retrieval Rates

Suture Button Fixation for Syndesmosis Injuries: Review of the Literature

Syndesmosis injuries

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