ArticleFoot & ankle international2022
Compensation of Dynamic Fixation Systems in the Quality of Reduction of Distal Tibiofibular Joint in Acute Syndesmotic Complex Injuries: A CT-Based Analysis.
Article in Foot & ankle international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 23 citations in OpenAlex.
- [Arthroscopy in the treatment of acute and chronic syndesmotic injuries of the ankle joint].Operative Orthopadie und Traumatologie · 2025Trial
- [Injuries of the tibiofibular syndesmosis: surgical technique].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Clinical and CT-Based Outcomes of Anterior and Posterior Syndesmotic Augmentation Using Nonabsorbable Suture Tape for Acute Syndesmotic Instability: A Preliminary Case Series of Seven Patients.Journal of clinical medicine · 2026Article
- Dynamic Versus Stable Fixation of Distal Tibiofibular Joint Injuries: A Meta-Analysis Comparing Functional Outcomes.Cureus · 2026Review
- Novel dynamic syndesmotic stabilization system improves anteroposterior and axial translation in distal tibiofibular joint.International orthopaedics · 2026Article
- A comparative analysis of different suture-button orientations for optimal dynamic stabilization of injured syndesmosis: A finite element study.Joint diseases and related surgery · 2026Article
- Correction of syndesmotic malreduction following fixation flexibilization.Scientific reports · 2025Article
- Disclosed Industry Funding Does Not Increase Positive Outcomes in Studies on Suture Button Fixation for Ankle Syndesmotic Injuries: A Systematic Review.Foot & ankle orthopaedics · 2025Article
- A 3-Ligament Syndesmotic Injury Is at Higher Risk for Malreduction Than a 2-Ligament Injury: A CT-Based Analysis.Foot & ankle international · 2024Article
- Measuring External Rotation of the Fibula and Fibular Length in Bilateral Computed Tomography Scans: How Reliable Is This Method?Journal of orthopaedic trauma · 2024Article
- Current concepts in ankle fractures.Journal of clinical orthopaedics and trauma · 2023Review
- Safe drilling zones for anteriorly, central, and posteriorly angulated syndesmotic stabilization devices.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Value of Intraoperative 3D Imaging on the Quality of Reduction of the Distal Tibiofibular Joint When Using a Suture-Button System.Foot & ankle international · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is an ongoing discussion on how to best stabilize syndesmotic injuries. Previous studies have indicated a better quality of reduction of the distal tibiofibular joint (DTFJ) for the suture button systems compared to syndesmotic screw fixation. Still, the reason for this superiority remains unclear. The aims of this retrospective study were to (1) analyze the deviation of the tibial and fibular drilling tunnels of the suture button system and (2) to compare these to the quality of reduction of the DTFJ assessed on bilateral postoperative CT images.
methodsIncluded were all adult patients who underwent syndesmotic stabilization for an acute injury using a suture button system, with postoperative, bilateral CT imaging over a 10-year period. A total of 147 patients were eligible. Based on individually reconstructed axial CT slices, the postoperative quality of reduction of the DTFJs was rated on bilateral CT images. Furthermore, the rotation and translation of the suture button drilling tunnels were analyzed. Based on these measurements, the intraoperative reduction of the DTFJ was recalculated and again rated. Using these values, the correction potential of suture button systems on the reduction of the DTFJ was analyzed.
results(1) The drilling tunnel deviated considerably for both rotation |2.3±2.1 degrees| (range: |0.0-13.1 degrees|) and translation |0.9±0.8 mm| (range: |0-4.3 mm|). Based on the deviation of the drilling tunnels in fibula and tibia, the calculated intraoperative reduction of the DTFJ was classified as malreduced in 35.4%. (2) The DTFJ was postoperatively identified as malreduced in 17% of patients. Overall, the suture button system tended to compensate toward a more anatomical reduction both in the axial and sagittal plane.
conclusionA suture button system postoperatively deviates and apparently has the capacity to compensate for intraoperative malreduction. Analysis of the drilling tunnels revealed that the use of a rigid fixation system would have doubled the postoperative malreduction rate.
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