급성 족근 관절 원위 경비인대결합 손상에서 TightRopeTM를 이용한 수술의 단기 치료 결과
Short-Term Results of Surgical Treatment Using TightRopeTM for Acute Ankle Syndesmosis Injury
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to evaluate the clinical and radiologic outcome of syndesmosis fixation using TightRopeTM (Arthrex, Naples, FL, USA) in acute syndesmosis injuries. Materials and Methods: Twenty-five consecutive patients with acute syndesmosis injuries, treated using TightRopeTM, were reviewed. Patients were evaluated preoperatively and at the last follow-up (at least 12 months postoperatively). Clinical outcomes were assessed using American Orthopaedics Foot and Ankle Society (AOFAS) ankle-hindfoot score and self-subjective satisfaction survey. Three radiologic parameters were evaluated two times at the preoperative and final follow up from the nonweightbearing ankle anteroposterior radiographs. Results: The mean AOFAS ankle-hindfoot score was 95.5 at the final follow-up. According to the satisfaction survey, 21 patients chose excellent, and four patients chose good. All radiologic parameters, including the mean tibiofibular clear space, mean tibiofibular overlap, and mean medial clear space on nonweightbearing ankle anteroposterior view, significantly improved after surgery. Complications occurred in only one patient who experienced knot irritation with infection. Conclusion: The short-term surgical results of syndesmosis fixation using TightRopeTM were good to excellent, both clinically and radiographically. These results suggest that the fixation using TightRopeTM is a valid option for acute syndesmosis injury.
Abstract
Purpose: The purpose of this study was to evaluate the clinical and radiologic outcome of syndesmosis fixation using TightRopeTM (Arthrex, Naples, FL, USA) in acute syndesmosis injuries. Materials and Methods: Twenty-five consecutive patients with acute syndesmosis injuries, treated using TightRopeTM, were reviewed. Patients were evaluated preoperatively and at the last follow-up (at least 12 months postoperatively). Clinical outcomes were assessed using American Orthopaedics Foot and Ankle Society (AOFAS) ankle-hindfoot score and self-subjective satisfaction survey. Three radiologic parameters were evaluated two times at the preoperative and final follow up from the nonweightbearing ankle anteroposterior radiographs. Results: The mean AOFAS ankle-hindfoot score was 95.5 at the final follow-up. According to the satisfaction survey, 21 patients chose excellent, and four patients chose good. All radiologic parameters, including the mean tibiofibular clear space, mean tibiofibular overlap, and mean medial clear space on nonweightbearing ankle anteroposterior view, significantly improved after surgery. Complications occurred in only one patient who experienced knot irritation with infection. Conclusion: The short-term surgical results of syndesmosis fixation using TightRopeTM were good to excellent, both clinically and radiographically. These results suggest that the fixation using TightRopeTM is a valid option for acute syndesmosis injury.
참고문헌 (28)
- Wagener ML, "Chronic instability of the anterior tibiofibular syndesmosis of the ankle. Arthroscopic findings and results of anatomical reconstruction", BMC Musculoskelet Disord, 12, pp.212~ (2011)
- Stuart K, "The fate of syndesmotic screws", Foot Ankle Int, 32, pp.519~525 (2011)
- Leeds HC, "Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures", J Bone Joint Surg Am, 66, pp.490~503 (1984)
- Lui TH, "Tri-ligamentous reconstruction of the distal tibiofibular syndesmosis : a minimally invasive approach", J Foot Ankle Surg, 49, pp.495~500 (2010)
- Peter RE, "Biomechanical effects of internal fixation of the distal tibiofibular syndesmotic joint : comparison of two fixation techniques", J Orthop Trauma, 8, pp.215~219 (1994)
- Klitzman R, "Suturebutton versus screw fixation of the syndesmosis : a biomechanical analysis", Foot Ankle Int, 31, pp.69~75 (2010)
- Thordarson DB, "Bioabsorbable versus stainless steel screw fixation of the syndesmosis in pronation-lateral rotation ankle fractures : a prospective randomized trial", Foot Ankle Int, 22, pp.335~338 (2001)
- Coetzee JC, "Treatment of syndesmoses disruptions : a prospective, randomized study comparing conventional screw fixation vs TightRope® fiber wire fixation-medium term results", SA Orthop J, 33, pp.32~37 (2009)
- Forsythe K, "Comparison of a novel FiberWire-button construct versus metallic screw fixation in a syndesmotic injury model", Foot Ankle Int, 29, pp.49~54 (2008)
- Manjoo A, "Functional and radiographic results of patients with syndesmotic screw fixation : implications for screw removal", J Orthop Trauma, 24, pp.2~6 (2010)
- Bava E, "Ankle fracture syndesmosis fixation and management : the current practice of orthopedic surgeons", Am J Orthop(Belle Mead NJ), 39, pp.242~246 (2010)
- Weening B, "Predictors of functional outcome following transsyndesmotic screw fixation of ankle fractures", J Orthop Trauma, 19, pp.102~108 (2005)
- Jordan TH, "The radiographic fate of the syndesmosis after trans-syndesmotic screw removal in displaced ankle fractures", J Foot Ankle Surg, 50, pp.407~412 (2011)
- Cottom JM, "Transosseous fixation of the distal tibiofibular syndesmosis : comparison of an interosseous suture and endobutton to traditional screw fixation in 50 cases", J Foot Ankle Surg, 48, pp.620~630 (2009)
- Cottom JM, "Treatment of syndesmotic disruptions with the Arthrex Tightrope : a report of 25 cases", Foot Ankle Int, 29, pp.773~780 (2008)
- Qamar F, "An anatomical way of treating ankle syndesmotic injuries", J Foot Ankle Surg, 50, pp.762~765 (2011)
- Degroot H, "Outcomes of suture button repair of the distal tibiofibular syndesmosis", Foot Ankle Int, 32, pp.250~256 (2011)
- Klossner O., "Late results of operative and non-operative treatment of severe ankle fractures. A clinical study", Acta Chir Scand Suppl, (Suppl 293), pp.1~93 (1962)
- Fanter NJ, "Safety of ankle transsyndesmotic fixation", Foot Ankle Int, 31, pp.433~440 (2010)
- Landis JR, "The measurement of observer agreement for categorical data", Biometrics, 33, pp.159~174 (1977)
- Scranton PE Jr, "Dynamic fibular function : a new concept", Clin Orthop Relat Res, 118, pp.76~81 (1976)
- Hart DP, "Healing of the medial collateral ligament in rats. The effects of repair, motion, and secondary stabilizing ligaments", J Bone Joint Surg Am, 69, pp.1194~1199 (1987)
- Rigby RB, "Does the Arthrex TightRope® provide maintenance of the distal tibiofibular syndesmosis? A 2-year follow-up of 64 TightRopes® in 37 patients", J Foot Ankle Surg, 52, pp.563~567 (2013)
- Thornes B, "Ankle syndesmosis injuries treated with the TightRopeTM suture-button kit", Techn Foot Ankle Surg, 5, pp.45~53 (2006)
- Naqvi GA, "Fixation of ankle syndesmotic injuries : comparison of tightrope fixation and syndesmotic screw fixation for accuracy of syndesmotic reduction", Am J Sports Med, 40, pp.2828~2835 (2012)
- Kortekangas TH, "Syndesmotic fixation in supination-external rotation ankle fractures : a prospective randomized study", Foot Ankle Int, 35, pp.988~995 (2014)
- McMurray D, "Walking on a tightrope : our experience in the treatment of traumatic ankle syndesmosis rupture", Injury Extra, 39, pp.182~ (2008)
- Naqvi GA, "Tightrope fixation of ankle syndesmosis injuries : clinical outcome, complications and technique modification", Injury, 43, pp.838~842 (2012)