Syndesmotic Malreduction Prevention, Assessment, and Treatment

IF 1.5 3区医学 Q3 ORTHOPEDICS

Foot and Ankle Clinics Pub Date : 2023-11-01 DOI:10.1016/j.fcl.2023.10.002

Sebastian F. Baumbach, Fabian Spindler, Wolfgang Böcker, Hans Polzer

引用次数: 0

Abstract

Syndesmotic instability or malreduction is an independent risk factor for an impaired patient-rated outcome. If a syndesmotic injury is suspected, a stepwise diagnostic approach including plane radiographs, MRI, and bilateral stress radiographs should be conducted to differentiate stable from latent unstable and frank diastasis cases. The basic requirement for any surgical treatment approach is a stable and anatomically reduced distal tibio-fibula joint. The best treatment approach for a 2-ligament injury (anterior inferior tibio-fibular ligament [AiTFL] + interosseous ligament [IOL]) seems to be the suture-button system, for a 3-ligament injury (AiTFL + IOL + posterior inferior tibio-fibular ligament), 2 fixation devices.

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联合复位不良的预防、评估和治疗

神经联合不稳定或复位不良是损害患者评价结果的独立危险因素。如果怀疑有联合损伤，应逐步进行诊断，包括平片、MRI和双侧应力x线片，以区分稳定型、潜在不稳定型和明显的转移病例。任何手术治疗方法的基本要求是稳定和解剖复位的远端胫腓骨关节。对于双韧带损伤(前下胫腓韧带[AiTFL] +骨间韧带[IOL])的最佳治疗方法似乎是缝合-按钮系统，对于三韧带损伤(AiTFL + IOL +后下胫腓韧带)，2个固定装置。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Clinics ORTHOPEDICS-

CiteScore

2.90

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Foot and Ankle Clinics updates you on the latest trends in orthopedic patient management, keeps you up to date on the newest surgical advances, and provides a sound basis for choosing treatment options. Published four times a year—in March, June, September, and December—each issue focuses on a single topic in foot and ankle surgery, from fractures, dislocations, sprains, and amputations, through arthritis, nerve disorders, and congenital deformities. Foot and Ankle Clinics has been edited by Mark S. Myerson, one of the world''s foremost experts on foot and ankle reconstruction and injury, since 1995.