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World J Orthop. 2017 Apr 18;8(4):301-309. doi: 10.5312/wjo.v8.i4.301. eCollection 2017 Apr 18.

Syndesmotic .

World journal of orthopedics

Markus Regauer, Gordon Mackay, Mirjam Lange, Christian Kammerlander, Wolfgang Böcker

Affiliations

  1. Markus Regauer, SportOrtho Rosenheim, Praxis für Orthopädie und Unfallchirurgie, 83022 Rosenheim, Germany.

PMID: 28473957 PMCID: PMC5396014 DOI: 10.5312/wjo.v8.i4.301

Abstract

Reconstruction of unstable syndesmotic injuries is not trivial, and there is no generally accepted treatment guidelines. Thus, there still remain considerable controversies regarding diagnosis, classification and treatment of syndesmotic injuries. Syndesmotic malreduction is the most common indication for early re-operation after ankle fracture surgery, and widening of the ankle mortise by only 1 mm decreases the contact area of the tibiotalar joint by 42%. Outcome of ankle fractures with syndesmosis injury is worse than without, even after surgical syndesmotic stabilization. This may be due to a high incidence of syndesmotic malreduction revealed by increasing postoperative computed tomography controls. Therefore, even open visualization of the syndesmosis during the reduction maneuver has been recommended. Thus, the most important clinical predictor of outcome is consistently reported as accuracy of anatomic reduction of the injured syndesmosis. In this context the TightRope

Keywords: Anatomic repair; InternalBraceTM; Rotational instability; Stabilization; Surgical technique; Syndesmosis injury

Conflict of interest statement

Conflict-of-interest statement: Markus Regauer and Gordon Mackay are paid consultants of Arthrex (Naples, Florida, United States).

References

  1. Foot Ankle Int. 2010 Jan;31(1):69-75 - PubMed
  2. Foot Ankle Int. 2006 Oct;27(10 ):788-92 - PubMed
  3. World J Orthop. 2011 Jul 18;2(7):51-6 - PubMed
  4. Int Orthop. 2014 Jan;38(1):83-8 - PubMed
  5. J Orthop Traumatol. 2016 Dec;17 (4):353-360 - PubMed
  6. J Orthop Trauma. 2005 Feb;19(2):102-8 - PubMed
  7. J Orthop Trauma. 2012 Jul;26(7):439-43 - PubMed
  8. Arthrosc Tech. 2014 Aug 11;3(4):e505-8 - PubMed
  9. Am J Sports Med. 2011 Oct;39(10):2226-32 - PubMed
  10. Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1845-51 - PubMed
  11. Foot Ankle Clin. 2009 Jun;14(2):277-98 - PubMed
  12. Orthopedics. 2016 May 1;39(3):e532-7 - PubMed
  13. Am J Sports Med. 2012 Nov;40(11):2590-6 - PubMed
  14. J Anat. 2010 Dec;217(6):633-45 - PubMed
  15. Am J Sports Med. 2014 Feb;42(2):405-11 - PubMed
  16. Foot Ankle Int. 2013 Oct;34(10 ):1403-10 - PubMed
  17. Foot Ankle Int. 2016 Jul;37(7):794-800 - PubMed
  18. Injury. 2004 Aug;35(8):814-8 - PubMed
  19. J Orthop Trauma. 2010 Jan;24(1):7-11 - PubMed
  20. Surg Technol Int. 2015 May;26:239-55 - PubMed
  21. Oper Orthop Traumatol. 2014 Feb;26(1):19-29 - PubMed
  22. Eur J Orthop Surg Traumatol. 2016 Dec;26(8):817-830 - PubMed
  23. Am J Sports Med. 2012 Dec;40(12 ):2828-35 - PubMed
  24. Foot Ankle Spec. 2013 Dec;6(6):441-5 - PubMed
  25. Am J Sports Med. 2014 Feb;42(2):412-6 - PubMed
  26. J Bone Joint Surg Am. 1976 Apr;58(3):356-7 - PubMed
  27. Curr Rev Musculoskelet Med. 2013 Dec;6(4):304-12 - PubMed
  28. Unfallchirurg. 2014 Jul;117(7):650-7 - PubMed
  29. Am J Orthop (Belle Mead NJ). 2010 May;39(5):242-6 - PubMed
  30. J Foot Ankle Surg. 2004 Jan-Feb;43(1):3-9 - PubMed

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