Syndesmotic Fixation With Suture Button. Neurovascular Structures at Risk. A Cadaver Study:

Foot & Ankle Orthopaedics

AshishShah¹ 

关键词: ankle fibula fracture;    syndesmosis;    suture button;    saphenous nerve;    anatomy;   

DOI  :  10.1177/2473011418S00424

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:TraumaIntroduction/Purpose:Damage to distal tibiofibular syndesmosis occurs in 25% of operative ankle fractures. Syndesmotic stabilization is crucial to prevent significant pain, instability and degeneration of the joint. One operative method is insertion of suture buttons. Though effective, this method can result in entrapment and damage of the saphenous neurovasculature of the medial tibia. The purpose of this study was to describe the anatomic risk of direct injury to the saphenous nerve and greater saphenous vein during syndesmotic suture button fixation.Methods:This study was performed on 10 below knee cadaveric leg specimens. Under fluoroscopic guidance, syndesmotic suture buttons were placed from lateral to medial at 1cm, 2cm, and 3cm above the tibial plafond at an anterior angle of 30 degrees to the coronal plane. Dissection was performed through medial tibial incision to record the distance and position of each button from the greater saphenous vein and saphenous nerve. Statistical measu...

【 授权许可】

CC BY