Radiological outcome from Tight-RopeTM fixation for acute syndesmotic injury: compared with conventional screw fixation

Foot & Ankle Orthopaedics

Su-YoungBae¹ 

关键词: syndesmosis;    Tight-Rope;    Screw fixation;   

DOI  :  10.1177/2473011418S00148

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:TraumaIntroduction/Purpose:The reduction and maintenance of tibiofibular joint is essential in the treatment of syndesmotic ankle injury. Tight-RopeTM (Arthrex, Naples, FL, USA) has been used recently but suspected in terms of tightening and sustaining power in spite of biomechanical results. We aimed to assess fixation-tightness and delayed syndesmotic widening after rehabilitation in syndesmotic injuries treated with Tight-RopeTM comparing with conventional screws.Methods:62 consecutive patients with acute syndesmotic injury were retrospectively reviewed. They were divided into 28 cases of Tight-RopeTM(TR) group and 34 cases of conventional screw fixation(Screw) group. We divided them into subgroups along the fixation methods such as 2 screws, 1 screw, TR only, and TR combined with screw. We analyzed syndesmotic widening by percentage. We measured tibiofibular clear space(TFCS) and tibiofibular overlap(TFOL). Tibiofibular clear space ratio and tibiofibular overlap ratio is measured as a ratio o...

【 授权许可】

CC BY