Treatment of syndesmoses disruptions:​ a prospective, randomized study comparing conventional screw fixation vs tightrope® fiber wire fixation – medium term results

Coetzee, J. Chris; Ebeling, Patrick B.

Affiliations

¹Minnesota Sports Medicine & Twin Cities Orthopedics

Abstract

Background: Open reduction and screw fixation is the current standard treatment for displaced injuries of the ankle syndesmosis. Despite reduction and stable internal fixation, however, these injuries do not uniformly have excellent outcomes. In addition, screw fixation has potential disadvantages.

Materials and methods: An ongoing prospective, randomized clinical trial comparing conventional screw fixation with TightRope® fiber wire fixation for syndesmosis injuries. The objective of this paper is also to provide an overview of the important anatomical and biomechanical issues relating to syndesmosis injuries.

Results: At medium term follow-up the TightRope® fiber wire fixation group had a statistically significant better range of motion compared to conventional screw fixation. The AOFAS ankle and hindfoot score did not show a significant difference between the two groups.

Links

URL: http://www.tcomn.com/Portals/10/Documents/Treatment_of_Syndesmoses_Disruptions.pdf

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Cited By (4)

Year	Entry
2012	Naqvi GA, Cunningham P, Lynch B, Galvin R, Awan N. Fixation of ankle syndesmotic injuries: comparison of TightRope fixation and syndesmotic screw fixation for accuracy of syndesmotic reduction. Am J Sports Med. December 2012;40(12):2828-2835.
2011	DeGroot H, Al-Omari AA, El Ghazaly SA. Outcomes of suture button repair of the distal tibiofibular syndesmosis. Foot Ankle Int. March 2011;32(2):250-256.
2012	Naqvi GA, Shafqat A, Awan N. Tightrope fixation of ankle syndesmosis injuries: clinical outcome, complications and technique modification. Injury. June 2012;43(6):838-842.
2011	Mulligan EP. Evaluation and management of ankle syndesmosis injuries. Phys Ther Sport. May 2011;12(2):57-69.