scholarly journals Reconstruction of Chronic Injured Distal Tibiofibular Syndesmosis with Autogenous Tendon Graft: A Systematic Review

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Han-Lin Xu ◽  
Yu-Jie Song ◽  
Ying-Hui Hua
Keyword(s):  
Scale Score ◽  
English Literature ◽  
Objective Evaluation ◽  
Tendon Graft ◽  
Tibiofibular Syndesmosis ◽  
Interosseous Ligament ◽  
Distal Tibiofibular Syndesmosis ◽  
Evaluation Scores ◽  
Syndesmosis Injury ◽  
Chronic Injuries

Background. Chronic injuries of the distal tibiofibular syndesmosis are common in patients who fail to receive adequate diagnosis and timely treatment. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon graft in these patients is effective, although relatively rarely reported. Purpose. To investigate clinical outcomes of syndesmosis reconstruction with an autogenous tendon graft for chronic injuries of the distal tibiofibular syndesmosis by reviewing the current literature. Methods. An English literature search was conducted in the MEDLINE, CENTRAL, and Cochrane databases to identify published studies up to October 2017. Preset inclusion and exclusion criteria were applied to identify all eligible articles. Results. Five studies (all with level IV evidence) that included a total of 51 patients who underwent reconstruction with an autogenous tendon graft were identified. It was reported that the symptoms were relieved postoperatively, including obviously improved functional outcomes and restoration of motions and exercise capacity. The mean American Orthopedic Foot and Ankle Society scale score of 16 patients was 53 preoperatively and 89 postoperatively. The visual analogue scale score of 14 patients decreased from 82.4 preoperatively to 12.6 postoperatively. A total of 5 (9.8%) complication cases were reported. Conclusion. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon for chronic syndesmosis injury showed a good therapeutic effect in terms of both subjective symptoms and objective evaluation scores. The interosseous ligament could be an appropriate reconstruction target in the treatment of chronic syndesmosis injury.

A novel method of using elastic bionic fixation device for distal tibiofibular syndesmosis injury

2018 ◽  
Vol 42 (9) ◽  
pp. 2219-2229 ◽  
Author(s):  
Lin Wang ◽  
Yingze Zhang ◽  
Zhaohui Song ◽  
Hengrui Chang ◽  
Ye Tian ◽  
...  
Keyword(s):  
Tibiofibular Syndesmosis ◽  
Fixation Device ◽  
Distal Tibiofibular Syndesmosis ◽  
Syndesmosis Injury ◽  
Novel Method

scholarly journals Technical aspects of the syndesmotic screw and their effect on functional outcome following acute distal tibiofibular syndesmosis injury

Injury ◽  
2014 ◽  
Vol 45 (4) ◽  
pp. 775-779 ◽  
Author(s):  
Tim Schepers ◽  
Hans van der Linden ◽  
Esther M.M. van Lieshout ◽  
Dieu-Donné Niesten ◽  
Maarten van der Elst
Keyword(s):  
Functional Outcome ◽  
Tibiofibular Syndesmosis ◽  
Technical Aspects ◽  
Syndesmotic Screw ◽  
Distal Tibiofibular Syndesmosis ◽  
Syndesmosis Injury

MRI Findings Associated with Distal Tibiofibular Syndesmosis Injury

2004 ◽  
Vol 182 (1) ◽  
pp. 131-136 ◽  
Author(s):  
Kevin W. Brown ◽  
William B. Morrison ◽  
Mark E. Schweitzer ◽  
J. Antoni Parellada ◽  
Henry Nothnagel
Keyword(s):  
Tibiofibular Syndesmosis ◽  
Mri Findings ◽  
Distal Tibiofibular Syndesmosis ◽  
Syndesmosis Injury

scholarly journals Clinical Significance of Ankle Arthroscopy in the Diagnosis of Type B Ankle Fracture Associated with the Distal Tibiofibular Syndesmosis Injury

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0035
Author(s):  
Huang Qiang ◽  
Xu Xiangyang
Keyword(s):  
Internal Fixation ◽  
Ankle Fracture ◽  
External Rotation ◽  
Ankle Arthroscopy ◽  
Tibiofibular Syndesmosis ◽  
Type B ◽  
Rotation Test ◽  
Distal Tibiofibular Syndesmosis ◽  
Syndesmosis Injury ◽  
Mri Diagnosis

Category: Arthroscopy, Trauma Introduction/Purpose: To investigate clinical significance of ankle arthroscopy in the diagnosis of type B ankle fracture associated with the distal tibiofibular syndesmosis injury. Methods: From February 2014 to December 2016, the authors diagnosed and treated 35 cases of type B ankle fractures. including 23 males and 12 females; with an average age of (43.05±12.480) years. Each patient underwent preoperative assessment: according to the patient’s clinical manifestations and imaging examination, and before the operation and after internal fixation of ankle fracture, the Cotton test and the external rotation test were done in the C arm X-ray, the initial diagnosis whether there is the distal tibiofibular syndesmosis injury. When the Cotton test and the external rotation test was used, Ankle arthroscopy was used to observe and evaluate whether there is the distal tibiofibular syndesmosis injury. For patients with the distal tibiofibular syndesmosis injury, In addition to the internal fixation of the ankle fracture, the TightRope was used to repair the injury. And observation of repair effect by ankle arthroscopy. Results: After internal fixation of ankle fracture, the Cotton test and the external rotation test was performed under the C arm X-ray, there were no the distal tibiofibular syndesmosis injury in 22 patients. Preoperative CT showed 6 cases of combined the distal tibiofibular syndesmosis injury, Preoperative MRI showed 13 cases of combined the distal tibiofibular syndesmosis injury. Ankle arthroscopy confirmed 11 cases of combined the distal tibiofibular syndesmosis injury. The sensitivity of ankle arthroscopy and MRI diagnosis combined with the distal tibiofibular syndesmosis injury was higher than that of CT sensitivity(P<0.05). The sensitivity of ankle arthroscopy for the diagnosis of the distal tibiofibular syndesmosis injury was weaker than that of MRI in the diagnosis of the distal tibiofibular syndesmosis injury (P<0.05). MRI diagnosis of the distal tibiofibular syndesmosis injury can be false positive. Conclusion: Ankle arthroscopy can directly observe the medial triangle ligament of the ankle, the distal tibiofibular syndesmosis injury, which provides the basis for correct diagnosis and treatment of Type B ankle fracture with the distal tibiofibular syndesmosis injury. And it can evaluate the stability of ankle after repairing the distal tibiofibular syndesmosis injury.

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