Reliability of the “Clinical Tibiofibular Line” Technique for Open Syndesmosis Reduction Assessment:

Foot & Ankle Orthopaedics

ChristopherReb¹ 

关键词: Ankle Sprain;    Ankle Fracture;    Trauma;    Tibiofibular Line;    Syndesmosis;   

DOI  :  10.1177/2473011417S000337

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, TraumaIntroduction/Purpose:When intraoperative CT is unavailable, open syndesmosis assessment is a universally available safe alternative that is more accurate than radiographic assessment. However, it has a documented malreduction rate of up to 16%. This may be improved by a validated technique for assessing the accuracy of the open syndesmosis reduction but none currently exists. The ‘tibiofibular line’ (TFL) was described as a tangential line between the flat anterolateral surface of the distal fibula and the anterolateral tubercle of the distal tibia as viewed on ankle axial CT images 10 millimeters (mm) above the plafond (Figure 1a). This finding was sensitive for syndesmosis malreduction. The purpose of this study was to assess the feasibility of adapting the CT-based TFL method into a reliable intraoperative open technique.Methods:This was an IRB-exempt study utilizing 10 cadaveric lower limbs. Three observers were instructed to clinically simulate the TFL by using two surgical rule...

【 授权许可】

CC BY