Short-Term Results of Surgical Treatment Using TightRope™ for Acute Ankle Syndesmosis Injury.
10.14193/jkfas.2016.20.4.176
- Author:
Do Young KIM
1
;
Jun Hyuck LEE
;
Jung Hyun PARK
;
Jaeho CHO
Author Information
1. Department of Orthopedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea. hohotoy@nate.com
- Publication Type:Original Article
- Keywords:
Ankle fractures;
Ankle syndesmosis;
Orthopedic fixation devices
- MeSH:
Ankle Fractures;
Ankle Joint*;
Ankle*;
Follow-Up Studies;
Foot;
Humans;
Orthopedic Fixation Devices
- From:Journal of Korean Foot and Ankle Society
2016;20(4):176-181
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to evaluate the clinical and radiologic outcome of syndesmosis fixation using TightRope™ (Arthrex, Naples, FL, USA) in acute syndesmosis injuries. MATERIALS AND METHODS: Twenty-five consecutive patients with acute syndesmosis injuries, treated using TightRope™, 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 TightRope™ were good to excellent, both clinically and radiographically. These results suggest that the fixation using TightRope™ is a valid option for acute syndesmosis injury.
