Evaluating the Efficacy of Tension Band Wiring Fixation for Chaput Tubercle Fractures
Background: Chaput tubercle fractures, located at the attachment site of the anterior inferior tibiofibular ligament (AITFL) on the distal tibia, have the potential to destabilize the syndesmosis joint. This study aims to assess the effectiveness of tension band wiring (TBW) as a surgical interventi...
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MDPI AG
2023-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/17/5490 |
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| author | Sung-Joon Yoon Eui-Dong Yeo Ki-Jin Jung Yong-Cheol Hong Chang-Hwa Hong Sung-Hun Won Kyung-Jin Lee Jae-Young Ji Je-Yeon Byeon Dhong-Won Lee Woo-Jong Kim |
| author_facet | Sung-Joon Yoon Eui-Dong Yeo Ki-Jin Jung Yong-Cheol Hong Chang-Hwa Hong Sung-Hun Won Kyung-Jin Lee Jae-Young Ji Je-Yeon Byeon Dhong-Won Lee Woo-Jong Kim |
| author_sort | Sung-Joon Yoon |
| collection | DOAJ |
| description | Background: Chaput tubercle fractures, located at the attachment site of the anterior inferior tibiofibular ligament (AITFL) on the distal tibia, have the potential to destabilize the syndesmosis joint. This study aims to assess the effectiveness of tension band wiring (TBW) as a surgical intervention for managing Chaput fractures and the consequent syndesmosis instability. Methods: A retrospective review of patient charts was undertaken for those who had undergone ankle fracture surgery from April 2019 through May 2022. The surgical procedure involved direct fixation of the Chaput fractures using the TBW method. Radiological assessments were performed using postoperative simple radiographs and computed tomography (CT) scans, while clinical outcomes were evaluated using the Olerud–Molander Ankle Score (OMAS) and the visual analog scale (VAS). Results: The study included 21 patients. The average OMAS improved significantly, rising from 5.95 preoperatively to 83.57 postoperatively. Similarly, the average VAS score dropped from 7.95 before the surgery to 0.19 thereafter. Minor wound complications were reported by three patients, and one case of superficial infection was resolved with antibiotic therapy. Conclusions: Our findings suggest that the TBW technique is an effective surgical approach for treating Chaput fractures and associated syndesmosis instability. It provides reliable fixation strength and leads to improved long-term functional outcomes. Further research is needed to compare the TBW technique with alternative methods and optimize the treatment strategies for these complex ankle fractures. |
| first_indexed | 2024-03-10T23:20:53Z |
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| language | English |
| last_indexed | 2024-03-10T23:20:53Z |
| publishDate | 2023-08-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-c5ef57bbff194b059556e6a33dd6560c2023-11-19T08:21:22ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011217549010.3390/jcm12175490Evaluating the Efficacy of Tension Band Wiring Fixation for Chaput Tubercle FracturesSung-Joon Yoon0Eui-Dong Yeo1Ki-Jin Jung2Yong-Cheol Hong3Chang-Hwa Hong4Sung-Hun Won5Kyung-Jin Lee6Jae-Young Ji7Je-Yeon Byeon8Dhong-Won Lee9Woo-Jong Kim10Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Veterans Health Service Medical Center, Seoul 05368, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Hospital Seoul, 59, Daesagwan-ro, Yongsan-gu, Seoul 04401, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Hospital Bucheon, 170, Jomaru-ro, Bucheon-si 14584, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Plastic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Konkuk University Medical Center, 120-1, Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaBackground: Chaput tubercle fractures, located at the attachment site of the anterior inferior tibiofibular ligament (AITFL) on the distal tibia, have the potential to destabilize the syndesmosis joint. This study aims to assess the effectiveness of tension band wiring (TBW) as a surgical intervention for managing Chaput fractures and the consequent syndesmosis instability. Methods: A retrospective review of patient charts was undertaken for those who had undergone ankle fracture surgery from April 2019 through May 2022. The surgical procedure involved direct fixation of the Chaput fractures using the TBW method. Radiological assessments were performed using postoperative simple radiographs and computed tomography (CT) scans, while clinical outcomes were evaluated using the Olerud–Molander Ankle Score (OMAS) and the visual analog scale (VAS). Results: The study included 21 patients. The average OMAS improved significantly, rising from 5.95 preoperatively to 83.57 postoperatively. Similarly, the average VAS score dropped from 7.95 before the surgery to 0.19 thereafter. Minor wound complications were reported by three patients, and one case of superficial infection was resolved with antibiotic therapy. Conclusions: Our findings suggest that the TBW technique is an effective surgical approach for treating Chaput fractures and associated syndesmosis instability. It provides reliable fixation strength and leads to improved long-term functional outcomes. Further research is needed to compare the TBW technique with alternative methods and optimize the treatment strategies for these complex ankle fractures.https://www.mdpi.com/2077-0383/12/17/5490ankle fracturesyndesmosis injurychaput tubercleavulsion fracturetension band wiring |
| spellingShingle | Sung-Joon Yoon Eui-Dong Yeo Ki-Jin Jung Yong-Cheol Hong Chang-Hwa Hong Sung-Hun Won Kyung-Jin Lee Jae-Young Ji Je-Yeon Byeon Dhong-Won Lee Woo-Jong Kim Evaluating the Efficacy of Tension Band Wiring Fixation for Chaput Tubercle Fractures Journal of Clinical Medicine ankle fracture syndesmosis injury chaput tubercle avulsion fracture tension band wiring |
| title | Evaluating the Efficacy of Tension Band Wiring Fixation for Chaput Tubercle Fractures |
| title_full | Evaluating the Efficacy of Tension Band Wiring Fixation for Chaput Tubercle Fractures |
| title_fullStr | Evaluating the Efficacy of Tension Band Wiring Fixation for Chaput Tubercle Fractures |
| title_full_unstemmed | Evaluating the Efficacy of Tension Band Wiring Fixation for Chaput Tubercle Fractures |
| title_short | Evaluating the Efficacy of Tension Band Wiring Fixation for Chaput Tubercle Fractures |
| title_sort | evaluating the efficacy of tension band wiring fixation for chaput tubercle fractures |
| topic | ankle fracture syndesmosis injury chaput tubercle avulsion fracture tension band wiring |
| url | https://www.mdpi.com/2077-0383/12/17/5490 |
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