Improved Reduction of the Tibiofibular Syndesmosis with Tightrope Compared to Screw Fixation

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Treatment of Syndesmosis Disruptions With TightRope Fixation

Open reduction and screw fixation is the current standard treatment for displaced injuries of the ankle syndesmosis. Despite reduction and stable internal fixation, however, these injuries do not uniformly have excellent outcomes. In addition, screw fixation has potential disadvantages. The objective of this article was to provide an overview of the important anatomical and biomechanical issues...

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Weber C ankle fractures with tibiofibular diastasis: syndesmosis-only fixation

OBJECTIVES To evaluate syndesmosis-only fixation in Weber C ankle fractures with tibiofibular diastasis and to assess the need for additional fibular fixation. METHODS Twenty-one patients with Weber C ankle fractures and tibiofibular diastasis were followed for at least 24 months after treatment. In treatment of the Weber C fractures, only a syndesmosis screw was used through a mini open late...

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Injuries to the tibiofibular syndesmosis.

The management of injury to the distal tibiofibular syndesmosis remains controversial in the treatment of ankle fractures. Operative fixation usually involves the insertion of a metallic diastasis screw. There are a variety of options for the position and characterisation of the screw, the type of cortical fixation, and whether the screw should be removed prior to weight-bearing. This paper rev...

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Analysis of the Stress and Displacement Distribution of Inferior Tibiofibular Syndesmosis Injuries Repaired with Screw Fixation: A Finite Element Study

BACKGROUND Studies of syndesmosis injuries have concentrated on cadaver models. However, they are unable to obtain exact data regarding the stress and displacement distribution of various tissues, and it is difficult to compare models. We investigated the biomechanical effects of inferior tibiofibular syndesmosis injuries (ITSIs) and screw fixation on the ankle using the finite element (FE) met...

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Tightrope walking: A new technique in ankle syndesmosis fixation

Over the past few years, several studies have demonstrated favorable clinical outcomes and low complication rates using the ankle Tightrope® syndesmosis fixation system. The traditional surgical procedure of screw fixation for syndesmosis injury is associated with high complication rates of loosening, screw fracture, nonanatomic fixation, and postoperative syndesmotic diastasis. It is expected ...

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ژورنال

عنوان ژورنال: Foot & Ankle Orthopaedics

سال: 2018

ISSN: 2473-0114,2473-0114

DOI: 10.1177/2473011418s00124