However, our case series highlights the slippage of Tightrope buttons as a complication of suture button syndesmotic fixation of Weber C malleolar fractures using limited contact dynamic compression (LCDCP) plates. However, our case series highlights the slippage of Tightrope buttons as a complication of suture button syndesmotic fixation of Weber C malleolar fractures using … Sign in here to access free tools such as favourites and alerts, or to access personal subscriptions, If you have access to journal content via a university, library or employer, sign in here, Research off-campus without worrying about access issues. http://www.arthrex.com/foot-ankle/tightrope, http://www.arthrex.com/foot-ankle/knotless-tightrope-syndesmosis, https://doi.org/10.1007/s00590-016-1882-8. J Foot Ankle Surg 50:762–765, Rigby RB, Cottom JM (2013) Does the Arthrex TightRope® provide maintenance of the distal tibiofibular syndesmosis?

However, our case series highlights the slippage of Tightrope buttons as a complication of suture button syndesmotic fixation of Weber C malleolar fractures … PubMed Central  -, Acta Orthop Scand. Recent literature has documented the success of ankle tightrope fixation for heterogeneous ankle fracture patterns, resulting in syndesmotic complex injuries. A prospective randomized study comparing TightRope and syndesmotic screw fixation for accuracy and maintenance of syndesmotic reduction assessed with bilateral computed tomography. Lean Library can solve it. Google Scholar, Ahmad J, Raikin SM, Pour AE, Haytmanek C (2009) Bioabsorbable screw fixation of the syndesmosis in unstable ankle injuries. Two of the patients reported persistent ankle pain and swelling with prolonged activity. The mean follow-up was 28, 64 months. Google Scholar, Manjoo A, Sanders DW, Teszer C, MacLeod MD (2010) Functional and radiographic results of patients with syndesmotic screw fixation: implications for screw removal. Taxes to be calculated in checkout. This product could help you, Accessing resources off campus can be a challenge.

Orthopaedics 38(11):1001–1006, Article  J Orthop Trauma 29(5):216–223, Westermann RW, Rungprai C, Goetz JE, Femino J, Amendola A, Phisitkul P (2014) The effect of suture-button fixation on simulated syndesmotic malreduction: a cadaveric study. Degroot, H, Al-Omari, AA, El Ghazaly, SA. The Foot 25(3):131–133, Article 

M. Bondi. 2011 Nov-Dec;50(6):762-5 European Journal of Orthopaedic Surgery & Traumatology J Foot Ankle Surg 52:563–567, Storey P, Gadd RJ, Blundell C, Davies MB (2012) Complications of suture button ankle syndesmosis stabilization with modifications of surgical technique. Google Scholar, Rammelt S, Zwipp H, Grass R (2008) Injuries to the distal tibiofibular syndesmosis: an evidence-based approach to acute and chronic lesions. Recent literature has documented the success of ankle tightrope fixation for heterogeneous ankle fracture patterns, resulting in syndesmotic complex injuries.

National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Foot Ankle Int 29:49–54, Klitzman R, Zhao H, Zhang L, Strohmeyer G, Vora A (2010) Suture-button versus screw fixation of the syndesmosis: a biomechanical analysis.

Correspondence to Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. Google Scholar, Dattani R, Patnaik S, Kantak A, Srikanth B, Selvan TP (2008) Injuries to the tibiofibular syndesmosis. J Orthop Sports Phys Ther 29:A32–A33, Sheri AH, Hertel J (2005) Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability.

van den Bekerom, MP, Kloen, P, Luitse, JS, Raaymakers, EL.

We report a series of cases from our database in which slippage of the Tightrope button through the LCDCP holes in Weber C malleolar fractures was noted. Preoperative and the most recent postoperative ankle radiographs were reassessed for measurements of the tibiofibular clear space (TFCS), medial clear space (MCS) and tibiofibular overlap (TFO). Foot Ankle Int 32:1040–1044, Hsu YT, Wu CC, Lee WC, Fan KF, Tseng IC, Lee PC (2011) Surgical treatment of syndesmotic diastasis: emphasis on effect of syndesmotic screw on ankle function. © 2020 Springer Nature Switzerland AG. However, our case series highlights the slippage of Tightrope buttons as a complication of suture button syndesmotic fixation of Weber C malleolar fractures using limited contact dynamic compression (LCDCP) plates. https://doi.org/10.1007/s12306-016-0421-4. The results of this study indicate that TightRope fixation is a valid option for syndesmotic injuries. https://doi.org/10.1007/s12306-016-0421-4. Conclusion: Syndesmotic tightrope is an ideal alternative for syndesmotic screw used to stabilise these injury, ... Insertion of the device is simple, both in isolation and in combination with fixation of fibula fractures. Musculoskelet Surg 100, 217–222 (2016). J Bone Joint Surg Am. Google Scholar, Mukhopadhyay S, Metcalfe A, Guha A, Mohanty K, Hemmadi S, Lyons K, O’Doherty D (2011) Malreduction of syndesmosisdare we considering the anatomical variation?

Thirty-six patients met our eligibility criteria.

Injury 46(6):1119–1126, Den Daas A, van Zuuren WJ, Pelet S, van Noort A, van den Bekerom MPJ (2012) Flexible stabilization of the distal tibiofibular syndesmosis: clinical and biomechanical considerations: a review of the literature. We have shown that it has low complication rates and a high patient satisfaction. 2015 Oct;36(10):1202-8. doi: 10.1177/1071100715588186. By continuing to browse Fractures of the fibula or tibia requiring fixation were internally fixed using standard AO techniques. We present a multicentre case series assessing the clinical, radiological and functional outcomes of patients with Weber C ankle fractures treated with the Arthrex TightRope® fixation system. Google Scholar, Sman AD, Hiller CE, Refshauge KM (2012) Diagnostic accuracy of clinical tests for diagnosis of ankle syndesmosis injury: a systematic review. The ankle tightrope maintained satisfactory reduction in the ankle mortise in 97% of cases. Foot Ankle Int 32:250–256, Naqvi GA, Shafqat A, Awan N (2012) Tightrope fixation of ankle syndesmosis injuries: clinical outcome, complications and technique modification. We next highlight 3 patients with Weber C malleolar fractures who underwent suture button syndesmotic fixation using double-stacked one-third tubular plates instead of the LCDCP. Arch Orthop Trauma Surg 131:879–883, Scranton P (2002) Isolated syndesmotic injuries: diastasis of the ankle in the athlete. The results of this study indicate that TightRope fixation is a valid option for syndesmotic injuries. doi:10.1177/1938640013477131, Department of Orthopaedic and Traumatology, Carlo Poma Hospital, Strada Lago Paiolo 10, 46100, Mantova, Italy, M. Bondi, N. Rossi, A. Pizzoli & L. Renzi Brivio, You can also search for this author in Patient records were reviewed for persistent symptoms that could be attributed to the loss of syndesmotic fixation and stability. Anand contributed to data collection/study supervisor. The purpose of this study was to evaluate the results obtained with the use of this device. Clin Orthop Relat Res 431:207–212, Forsythe K, Freedman KB, Stover MD, Patwardhan AG (2008) Comparison of a novel FiberWire-button construct versus metallic screw fixation in a syndesmotic injury model. Google Scholar, Thornes B, McCartan D (2006) Ankle syndesmosis injuries treated with the TightRope suture-button kit.

Part of Springer Nature.

Tech Foot Ankle Surg 5:27–33, Fanter N, Inouye S, McBryde A (2010) Safety of ankle trans-syndesmotic fixation. Maintenance of reduction with suture button fixation devices for ankle syndesmosis repair. J Orthop Trauma 22:648–651, Schepers T (2012) Acute distal tibiofibular syndesmosis injury: a systematic review of suture-button versus syndesmotic screw repair. Adv Orthop 2012:942174. doi:10.1155/2012/942174, CAS  Clin Orthop Relat Res 431:207–212, Willmott HJ, Singh B, David LA (2009) Outcome and complications of treatment of ankle diastasis with tightrope fixation. Google Scholar, Nelson AJ, Collins CL, Yard EE, Fields SK, Comstock RD (2007) Ankle injuries among United States high school sports athletes, 2005–2006. Google Scholar, Wang C, Ma X, Wang X, Huang J, Zhang C, Chen L (2013) Internal fixation of distal tibiofibular syndesmotic injuries: a systematic review with meta-analysis.

Outcomes measures were assessed subjectively using functional scores (AOFAS and Olerud and Molander) and objectively using radiological measurements, complication rates and revision surgery rates. Correspondence to TightRope is a relatively new technique for syndesmosis fixation, characterized by a non-absorbable FibreWire held tight between two cortical metal buttons. Foot Ankle Int 31:69–75, Miller A, Paul O, Boraiah S, Parker R, Helfet D, Lorich D (2010) Functional outcomes after syndesmotic screw fixation and removal. Surgical Technique.

Of these 35 successfully treated cases, no evidence of re-displacement on follow-up radiographs of the syndesmotic complex was observed at an average of 10.8 months (range 6–12). A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury. Acute distal tibiofibular syndesmosis injury: a systematic review of suture-button versus syndesmotic screw repair.  |  2015 Jun;36(6):679-84. doi: 10.1177/1071100715571631. Keywords: 2017 Jul 4;18(1):286. doi: 10.1186/s12891-017-1645-7. PubMed 

Bondi, M., Rossi, N., Pizzoli, A. et al. J Orthop Trauma 24:2–6, Melvin J, Downing K, Ogilvie K (2008) A technique for removal of broken cannulated tricortical syndesmotic screws. Correspondence to Article  Foot Ankle Spec 6(3):242–246. Injury 36:60–64, Cox S, Mukherjee DP, Ogden AL, Mayuex RH, Sadasivan KK, Albright JA, Pietrzak WS (2005) Distal tibiofibular syndesmosis fixation: a cadaveric, simulated fracture stabilization study comparing bioabsorbable and metallic single screw fixation. The e-mail addresses that you supply to use this service will not be used for any other purpose without your consent. The mean age at operation was 31 years (range 18–65). (Online): www.ankletightrope.com, Martin RL, Burdett RG, Irrgang JJ (1999) Development of the foot and ankle disability index (FADI).

The overall complication rate was 6% (one failure requiring revision surgery and one medial sided skin irritation requiring removal of suture button). Dattani, R, Patnaik, S, Kantak, A, Srikanth, B, Selvan, TP. Inge, SY, Pull Ter Gunne, AF, Aarts, CA, Bemelman, M. Kocadal, O, Yucel, M, Pepe, M, Aksahin, E, Aktekin, CN. Preoperative and the most recent postoperative ankle radiographs were reassessed for measurements of the tibiofibular clear space (TFCS), medial clear space (MCS) and tibiofibular overlap (TFO).

Foot Ankle Int. Google Scholar, Nelson AJ, Collins CL, Yard EE, Fields SK, Comstock RD (2007) Ankle injuries among United States high school sports athletes, 2005–2006. This study was passed through hospital research and development boards and did not require formal ethical approval. Login failed.  | 

Foot Ankle Int 29:49–54, Klitzman R, Zhao H, Zhang L, Strohmeyer G, Vora A (2010) Suture-button versus screw fixation of the syndesmosis: a biomechanical analysis. Foot Ankle Int 27(10):788–792, Van Vlijmen N, Denk K, Van Kampen A, Jaarsma RL (2015) Long-term results after ankle syndesmosis injuries. Br J Sports Med Jul 47(10):620–628, Article 

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