Medial Structure Injury During Suture Button Insertion Utilizing “Center-Center” Technique for Syndesmotic Stabilization:

Foot & Ankle Orthopaedics

ChristopherReb¹ 

关键词: syndesmosis fixation;    ankle fracture;    suture button;    tibia;    fibula;    sprain;   

DOI  :  10.1177/2473011418S00100

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:AnkleIntroduction/Purpose:The “Center-Center” technique for syndesmosis fixation has been described as an improved and reliable technique for proper reduction of the syndesmosis during ankle fracture repair. Concurrently, the use of a flexible suture button is becoming an established means of syndesmotic stabilization. The purpose of this cadaveric study was to assess for medial structure injury during the placement of a suture button utilizing the “Center-Center” technique for ankle syndesmotic repair at 3 insertion intervals.Methods:Simulated open syndesmosis repair was performed on 10 cadaveric specimens. Three intervals were measured at 10 mm, 20 mm, and 30 mm proximal to the level of the distal tibial articular surface along the fibula. Proper longitudinal alignment of the “Center-Center” technique was completed under fluoroscopic guidance and was marked on the medial aspect of the tibia. The 3 intervals were drilled in the appropriate technique trajectory. The suture button was passed throu...

【 授权许可】

CC BY