The Impact of Suture Button Removal in Syndesmosis Fixation
The suture button (SB) device was introduced to negate the need for routine hardware removal in the treatment of syndesmosis injuries. However, a considerable SB removal rate has been reported, and the impact of removal is unknown. This study aimed to evaluate the radiographic and clinical outcomes...
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| Format: | Article |
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MDPI AG
2021-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/16/3726 |
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| author | Jaeyoung Kim Minsoo Kwon Jonathan Day Jesse Seilern und Aspang Jaehoon Shim Jaeho Cho |
| author_facet | Jaeyoung Kim Minsoo Kwon Jonathan Day Jesse Seilern und Aspang Jaehoon Shim Jaeho Cho |
| author_sort | Jaeyoung Kim |
| collection | DOAJ |
| description | The suture button (SB) device was introduced to negate the need for routine hardware removal in the treatment of syndesmosis injuries. However, a considerable SB removal rate has been reported, and the impact of removal is unknown. This study aimed to evaluate the radiographic and clinical outcomes after removal of SB for syndesmosis fixation. A total of 36 patients who underwent removal surgery after syndesmosis fixation using SB were identified. The mean postoperative time to removal was 12.2 months. On a plain radiograph, tibiofibular clear space (TFCS) was measured and compared at three follow-up time points. In patients with computed tomography (CT) imaging (<i>n</i> = 18), the anterior-to-posterior (A/P) ratio was measured to evaluate changes in quality of reduction. Additionally, clinical outcomes were assessed. There were no significant differences in TFCS between the three follow-up periods. None of the patients exhibited recurrent diastasis after SB removal. Although CT analysis demonstrated malreduction in six patients (33.3%), five of six patients had a subsequent spontaneous reduction of the syndesmosis. Clinically, all patients described the resolution of symptoms related to painful hardware at the final follow-up. Our results demonstrate that SB removal at one year following syndesmosis fixation leads to improved clinical symptoms without negatively impacting the quality of syndesmosis reduction. |
| first_indexed | 2024-03-10T08:42:14Z |
| format | Article |
| id | doaj.art-b05eadb525ab4062a484c25e269d0bb9 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T08:42:14Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b05eadb525ab4062a484c25e269d0bb92023-11-22T08:12:40ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011016372610.3390/jcm10163726The Impact of Suture Button Removal in Syndesmosis FixationJaeyoung Kim0Minsoo Kwon1Jonathan Day2Jesse Seilern und Aspang3Jaehoon Shim4Jaeho Cho5Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY 10021, USADepartment of Orthopaedic Surgery, Armed Forces Daejeon Hospital, Daejeon 34059, KoreaDepartment of Orthopaedic Surgery, Georgetown University, Washington, DC 20007, USADepartment of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, KoreaDepartment of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, KoreaThe suture button (SB) device was introduced to negate the need for routine hardware removal in the treatment of syndesmosis injuries. However, a considerable SB removal rate has been reported, and the impact of removal is unknown. This study aimed to evaluate the radiographic and clinical outcomes after removal of SB for syndesmosis fixation. A total of 36 patients who underwent removal surgery after syndesmosis fixation using SB were identified. The mean postoperative time to removal was 12.2 months. On a plain radiograph, tibiofibular clear space (TFCS) was measured and compared at three follow-up time points. In patients with computed tomography (CT) imaging (<i>n</i> = 18), the anterior-to-posterior (A/P) ratio was measured to evaluate changes in quality of reduction. Additionally, clinical outcomes were assessed. There were no significant differences in TFCS between the three follow-up periods. None of the patients exhibited recurrent diastasis after SB removal. Although CT analysis demonstrated malreduction in six patients (33.3%), five of six patients had a subsequent spontaneous reduction of the syndesmosis. Clinically, all patients described the resolution of symptoms related to painful hardware at the final follow-up. Our results demonstrate that SB removal at one year following syndesmosis fixation leads to improved clinical symptoms without negatively impacting the quality of syndesmosis reduction.https://www.mdpi.com/2077-0383/10/16/3726syndesmosissyndesmosis injurysuture buttonremovalankle fracturediastasis |
| spellingShingle | Jaeyoung Kim Minsoo Kwon Jonathan Day Jesse Seilern und Aspang Jaehoon Shim Jaeho Cho The Impact of Suture Button Removal in Syndesmosis Fixation Journal of Clinical Medicine syndesmosis syndesmosis injury suture button removal ankle fracture diastasis |
| title | The Impact of Suture Button Removal in Syndesmosis Fixation |
| title_full | The Impact of Suture Button Removal in Syndesmosis Fixation |
| title_fullStr | The Impact of Suture Button Removal in Syndesmosis Fixation |
| title_full_unstemmed | The Impact of Suture Button Removal in Syndesmosis Fixation |
| title_short | The Impact of Suture Button Removal in Syndesmosis Fixation |
| title_sort | impact of suture button removal in syndesmosis fixation |
| topic | syndesmosis syndesmosis injury suture button removal ankle fracture diastasis |
| url | https://www.mdpi.com/2077-0383/10/16/3726 |
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