A retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption
BackgroundTo compare clinical outcomes of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption.MethodsPatients diagnosed with lateral malleolus fracture combined with both deltoid...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.912024/full |
| _version_ | 1798044138556358656 |
|---|---|
| author | Junyi Liao Jinsong Zhang Weidong Ni Gang Luo |
| author_facet | Junyi Liao Jinsong Zhang Weidong Ni Gang Luo |
| author_sort | Junyi Liao |
| collection | DOAJ |
| description | BackgroundTo compare clinical outcomes of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption.MethodsPatients diagnosed with lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption who received open reduction and internal fixation (ORIF) were retrospectively reviewed. Seventy-eight patients were enrolled into the study, including 40 patients treated with lateral malleolus fracture ORIF and trans-syndesmotic fixation, and 38 patients treated with lateral malleolus fracture ORIF and deltoid ligament repair. Basic information and pre- and postoperative radiological materials were reviewed. Visual analog pain scale (VAS) score, Olerud–Molander score, and the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale were used for evaluating pain control and functional recovery postoperatively at different time points.ResultsNo complication was reported in both groups. In the trans-syndesmotic fixation group, all patients received syndesmotic screw removal 6–8 weeks postoperatively. The Olerud–Molander score and AOFAS Ankle-Hindfoot Scale in the deltoid ligament repair group were higher than the trans-syndesmotic fixation group 3 months after operation. No statistical difference was found between the two groups in VAS score from 1 to 12 months postoperatively.ConclusionsLateral malleolus fracture ORIF and deltoid ligament repair is an effective method for lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption. Compared with trans-syndesmotic fixation, deltoid ligament repair holds the advantage of not needing surgical removal of inferior tibiofibular screws postoperatively. |
| first_indexed | 2024-04-11T22:58:49Z |
| format | Article |
| id | doaj.art-ebaaef590548436b8b1569ede570f9ea |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T22:58:49Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-ebaaef590548436b8b1569ede570f9ea2022-12-22T03:58:17ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-10-01910.3389/fsurg.2022.912024912024A retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruptionJunyi LiaoJinsong ZhangWeidong NiGang LuoBackgroundTo compare clinical outcomes of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption.MethodsPatients diagnosed with lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption who received open reduction and internal fixation (ORIF) were retrospectively reviewed. Seventy-eight patients were enrolled into the study, including 40 patients treated with lateral malleolus fracture ORIF and trans-syndesmotic fixation, and 38 patients treated with lateral malleolus fracture ORIF and deltoid ligament repair. Basic information and pre- and postoperative radiological materials were reviewed. Visual analog pain scale (VAS) score, Olerud–Molander score, and the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale were used for evaluating pain control and functional recovery postoperatively at different time points.ResultsNo complication was reported in both groups. In the trans-syndesmotic fixation group, all patients received syndesmotic screw removal 6–8 weeks postoperatively. The Olerud–Molander score and AOFAS Ankle-Hindfoot Scale in the deltoid ligament repair group were higher than the trans-syndesmotic fixation group 3 months after operation. No statistical difference was found between the two groups in VAS score from 1 to 12 months postoperatively.ConclusionsLateral malleolus fracture ORIF and deltoid ligament repair is an effective method for lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption. Compared with trans-syndesmotic fixation, deltoid ligament repair holds the advantage of not needing surgical removal of inferior tibiofibular screws postoperatively.https://www.frontiersin.org/articles/10.3389/fsurg.2022.912024/fullankle fracturedeltoid ligament injuryinferior tibiofibular syndesmotic disruptiondeltoid ligament repairtrans-syndesmotic fixation |
| spellingShingle | Junyi Liao Jinsong Zhang Weidong Ni Gang Luo A retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption Frontiers in Surgery ankle fracture deltoid ligament injury inferior tibiofibular syndesmotic disruption deltoid ligament repair trans-syndesmotic fixation |
| title | A retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption |
| title_full | A retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption |
| title_fullStr | A retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption |
| title_full_unstemmed | A retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption |
| title_short | A retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption |
| title_sort | retrospective study of deltoid ligament repair versus syndesmotic fixation in lateral malleolus fracture combined with both deltoid ligament injury and inferior tibiofibular syndesmotic disruption |
| topic | ankle fracture deltoid ligament injury inferior tibiofibular syndesmotic disruption deltoid ligament repair trans-syndesmotic fixation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.912024/full |
| work_keys_str_mv | AT junyiliao aretrospectivestudyofdeltoidligamentrepairversussyndesmoticfixationinlateralmalleolusfracturecombinedwithbothdeltoidligamentinjuryandinferiortibiofibularsyndesmoticdisruption AT jinsongzhang aretrospectivestudyofdeltoidligamentrepairversussyndesmoticfixationinlateralmalleolusfracturecombinedwithbothdeltoidligamentinjuryandinferiortibiofibularsyndesmoticdisruption AT weidongni aretrospectivestudyofdeltoidligamentrepairversussyndesmoticfixationinlateralmalleolusfracturecombinedwithbothdeltoidligamentinjuryandinferiortibiofibularsyndesmoticdisruption AT gangluo aretrospectivestudyofdeltoidligamentrepairversussyndesmoticfixationinlateralmalleolusfracturecombinedwithbothdeltoidligamentinjuryandinferiortibiofibularsyndesmoticdisruption AT junyiliao retrospectivestudyofdeltoidligamentrepairversussyndesmoticfixationinlateralmalleolusfracturecombinedwithbothdeltoidligamentinjuryandinferiortibiofibularsyndesmoticdisruption AT jinsongzhang retrospectivestudyofdeltoidligamentrepairversussyndesmoticfixationinlateralmalleolusfracturecombinedwithbothdeltoidligamentinjuryandinferiortibiofibularsyndesmoticdisruption AT weidongni retrospectivestudyofdeltoidligamentrepairversussyndesmoticfixationinlateralmalleolusfracturecombinedwithbothdeltoidligamentinjuryandinferiortibiofibularsyndesmoticdisruption AT gangluo retrospectivestudyofdeltoidligamentrepairversussyndesmoticfixationinlateralmalleolusfracturecombinedwithbothdeltoidligamentinjuryandinferiortibiofibularsyndesmoticdisruption |