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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 496-501
DOI: 10.1055/s-0041-1740293
Artigo Original

Treatment of Distal Tibiofibular Syndesmosis Injury Associated with Ankle Fractures with Suture Button

Article in several languages: português | English
Adilson Sanches de Oliveira Junior 
1   Departamento de Cirurgia Ortopédica, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Beatriz D'Andrea Pigossi 
2   Faculdade de Ciências Médicas e da Saúde, Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brasil
,
Guilherme Honda Saito 
1   Departamento de Cirurgia Ortopédica, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Danilo Ryuko Cândido Nishikawa 
3   Departamento de Cirurgia Ortopédica, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brasil
,
Alberto Abussamra Moreira Mendes 
1   Departamento de Cirurgia Ortopédica, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Marcelo Pires Prado 
1   Departamento de Cirurgia Ortopédica, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
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Abstract

Objective To evaluate the results obtained from the surgical treatment of malleolar ankle fractures associated with distal tibiofibular syndesmosis (DTFS) injury submitted to conventional surgical procedure for fracture fixation and DTFS fixation by suture button (SB).

Methods Forty-nine patients were retrospectively evaluated, with a mean age of 45 years old and a mean follow-up of 34.1 months. Clinical and functional evaluation was based on the visual analogue scale (VAS) and on the American Foot and Ankle Society Score (AOFAS) for ankle and hindfoot, return to routine activities, and return to sport.

Results The postoperative mean AOFAS and VAS were, respectively, 97.06 (confidence interval [CI 95%: 95.31–98.81] and 0.16 [CI 95% 0,04 – 0,29]. All patients returned to previous daily activities, and only 12 showed some residual symptom. There was no postoperative instability in any patient. Forty-six patients returned to sports activities and, of these, only 1 did not return to the level prior to the injury. Only two patients presented SB-related alterations. There was no report of dissatisfaction.

Conclusion In malleolar fractures of the ankle with DTFS injury, the fixation of syndesmosis with SB demonstrated excellent postoperative results.

Level of Evidence IV, retrospective case series.

Keywords

ankle joint - ankle fractures - suture techniques - fracture fixation, internal

Financial Support

No financial support. All costs for the collection, analysis, interpretation of the results, and writing of the article were provided exclusively by the authors.


Work developed at the Departamento de cirurgia ortopédica, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.




Publication History

Received: 13 April 2021

Accepted: 20 September 2021

Article published online:
20 December 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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