Tibialis Posterior Tendon Dysfunction Due to Syndesmotic Fixation Using Non-absorbable Suture Button Device Following Fracture-Dislocation of the Ankle: A Case Report.

Autor:	Rajeev A; Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Gateshead, GBR., Krishnan S; General Medicine, Gateshead Health Foundation NHS Trust, Gateshead, GBR., Koshy G; Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Gateshead, GBR., Mariam Baby M; Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Gateshead, GBR., Devalia K; Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Gateshead, GBR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Oct 26; Vol. 16 (10), pp. e72442. Date of Electronic Publication: 2024 Oct 26 (Print Publication: 2024).
DOI:	10.7759/cureus.72442
Abstrakt:	Fracture-dislocation of the ankle is a common lower limb injury, often associated with syndesmotic damage. While CT and MRI scans are more sensitive than plain radiographs in diagnosing syndesmotic injuries, treatment typically involves either static stabilization using metallic screws or dynamic stabilization with a suture button device. The primary advantage of dynamic stabilization is that it eliminates the need for a second surgery to remove screws. However, chronic syndesmotic injuries can lead to significant morbidity, including pain and impaired function. In patients with inflammatory conditions, such as rheumatoid arthritis, dynamic stabilization may result in loosening and migration of the suture button, potentially causing tendon degeneration and rupture. We present the case of a 63-year-old woman with rheumatoid arthritis who sustained a fracture-dislocation of the ankle. She was treated with open reduction and internal fixation, using a plate, screws, and a suture button device for syndesmotic stabilization. Postoperatively, she developed a plano-valgus deformity due to migration of the suture button into the tibialis posterior tendon and degenerative arthritis of the syndesmosis joint. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Rajeev et al.)
Databáze:	MEDLINE
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