Does the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining? – a technical note
Abstract Purpose Unstable ankle fractures with associated syndesmotic injury are of considerable morbidity in the professional athlete population. The use of dynamic suture button versus static syndesmotic screws fixation, rehabilitation protocols and timing to return to play are still areas of deba...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-09-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40634-020-00279-x |
| _version_ | 1797225656156684288 |
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| author | Pieter D’Hooghe Motasem Salameh |
| author_facet | Pieter D’Hooghe Motasem Salameh |
| author_sort | Pieter D’Hooghe |
| collection | DOAJ |
| description | Abstract Purpose Unstable ankle fractures with associated syndesmotic injury are of considerable morbidity in the professional athlete population. The use of dynamic suture button versus static syndesmotic screws fixation, rehabilitation protocols and timing to return to play are still areas of debate. We report the use of novel algorithm of sequential static and dynamic syndesmotic fixation in an elite football player with Weber C ankle fracture. Methods The patient underwent open reduction and internal fixation for a weber C ankle fracture with associated syndesmotic and deltoid ligament injury. The osteosynthesis included lateral malleolus neutralizing plate, two syndesmotic screws and deltoid anchor repair. At 6 weeks post-operative both syndesmotic screws were removed and one suture button was implanted in the proximal screw hole. After the second operation the patient was allowed full weight bearing and range of motion in all direction with accelerated rehabilitation protocol. Results The technique provided satisfactory results. At 4 month the player participated in a 90 min official football match. The fracture healed uneventfully with no recurrent syndesmotic diastasis. Conclusion The presented technique of sequential dynamic and static fixation of associated syndesmotic injuries combined advantages of both syndesmotic screws and suture button implants. In an aim to allow earlier return to play in an elite football player. This opens the way for higher level of evidence clinical trials. |
| first_indexed | 2024-03-08T07:23:49Z |
| format | Article |
| id | doaj.art-f4fc01ae81464daeb83ff29651d0ec02 |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-04-24T14:12:29Z |
| publishDate | 2020-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-f4fc01ae81464daeb83ff29651d0ec022024-04-03T09:02:15ZengWileyJournal of Experimental Orthopaedics2197-11532020-09-01711510.1186/s40634-020-00279-xDoes the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining? – a technical notePieter D’Hooghe0Motasem Salameh1Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sports Medical HospitalDepartment of Orthopaedic Surgery, Hamad General HospitalAbstract Purpose Unstable ankle fractures with associated syndesmotic injury are of considerable morbidity in the professional athlete population. The use of dynamic suture button versus static syndesmotic screws fixation, rehabilitation protocols and timing to return to play are still areas of debate. We report the use of novel algorithm of sequential static and dynamic syndesmotic fixation in an elite football player with Weber C ankle fracture. Methods The patient underwent open reduction and internal fixation for a weber C ankle fracture with associated syndesmotic and deltoid ligament injury. The osteosynthesis included lateral malleolus neutralizing plate, two syndesmotic screws and deltoid anchor repair. At 6 weeks post-operative both syndesmotic screws were removed and one suture button was implanted in the proximal screw hole. After the second operation the patient was allowed full weight bearing and range of motion in all direction with accelerated rehabilitation protocol. Results The technique provided satisfactory results. At 4 month the player participated in a 90 min official football match. The fracture healed uneventfully with no recurrent syndesmotic diastasis. Conclusion The presented technique of sequential dynamic and static fixation of associated syndesmotic injuries combined advantages of both syndesmotic screws and suture button implants. In an aim to allow earlier return to play in an elite football player. This opens the way for higher level of evidence clinical trials.http://link.springer.com/article/10.1186/s40634-020-00279-xAnkle fractureAthleteFootballReturn to playScrewSuture button |
| spellingShingle | Pieter D’Hooghe Motasem Salameh Does the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining? – a technical note Journal of Experimental Orthopaedics Ankle fracture Athlete Football Return to play Screw Suture button |
| title | Does the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining? – a technical note |
| title_full | Does the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining? – a technical note |
| title_fullStr | Does the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining? – a technical note |
| title_full_unstemmed | Does the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining? – a technical note |
| title_short | Does the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining? – a technical note |
| title_sort | does the choice of syndesmotic screw versus suture button in ankle surgery has a silver lining a technical note |
| topic | Ankle fracture Athlete Football Return to play Screw Suture button |
| url | http://link.springer.com/article/10.1186/s40634-020-00279-x |
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