Advancements in minimally invasive treatment of deltoid ligament injuries combined with distal tibiofibular syndesmosis injuries.

IF 1.6 3区 医学 Q2 SURGERY
Kun Liu, Xiaoyan Ji, Peng Su
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引用次数: 0

Abstract

The deltoid ligament (medial collateral ligament) and the syndesmosis (a composite ligamentous structure at the distal tibiofibular junction) are critical for maintaining ankle stability. In cases of high-energy ankle fractures, these structures are often injured simultaneously, leading to instability and potential long-term complications such as post-traumatic arthritis. This review aims to explore advancements in minimally invasive techniques for the treatment of combined deltoid ligament and syndesmosis injuries, with a focus on optimizing surgical outcomes and reducing patient morbidity. Current treatment strategies primarily involve cortical screws for syndesmosis stabilization and anchor fixation for deltoid ligament repair. Recent innovations, such as bioabsorbable screws, suture-button devices with elastic micromotion, and syndesmotic plates, have demonstrated potential in improving biomechanical stability while minimizing complications. Furthermore, minimally invasive techniques, including arthroscopic repairs with suture anchors, as well as ligament reconstruction using autografts, allografts, or synthetic ligaments, are becoming increasingly popular. By incorporating these advancements, the field is moving toward more effective and patient-centered approaches to achieve anatomical and functional restoration under minimally invasive principles. Future research should focus on further validating these techniques and identifying the most effective strategies for complex injuries.

三角韧带(内侧副韧带)和韧带联合(胫腓远端连接处的复合韧带结构)对维持踝关节稳定性至关重要。在高能踝关节骨折的病例中,这些结构经常同时受伤,导致不稳定和潜在的长期并发症,如创伤后关节炎。本综述旨在探讨微创技术治疗联合三角韧带和联合韧带损伤的进展,重点是优化手术效果和降低患者发病率。目前的治疗策略主要包括皮质螺钉用于韧带联合稳定和锚定固定用于三角韧带修复。最近的创新,如生物可吸收螺钉、弹性微动缝合按钮装置和联合钢板,已经证明了在提高生物力学稳定性的同时最大限度地减少并发症的潜力。此外,微创技术,包括关节镜下缝合锚钉修复,以及使用自体移植物、同种异体移植物或合成韧带重建的韧带,正变得越来越流行。通过整合这些进步,该领域正在朝着更有效和以患者为中心的方法发展,以实现微创原则下的解剖和功能恢复。未来的研究应该集中在进一步验证这些技术,并确定复杂损伤的最有效策略。
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来源期刊
BMC Surgery
BMC Surgery SURGERY-
CiteScore
2.90
自引率
5.30%
发文量
391
审稿时长
58 days
期刊介绍: BMC Surgery is an open access, peer-reviewed journal that considers articles on surgical research, training, and practice.
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