Chronic Syndesmotic Injuries
Autor: | Andrzej Boszczyk, Stefan Rammelt |
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Rok vydání: | 2020 |
Předmět: |
030222 orthopedics
medicine.medical_specialty Syndesmosis Debridement business.industry medicine.medical_treatment Arthrodesis 030229 sport sciences Bone grafting Ankle Mortise Screw fixation Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Ligament Orthopedics and Sports Medicine Ankle business |
Zdroj: | Foot and Ankle Clinics. 25:631-652 |
ISSN: | 1083-7515 |
DOI: | 10.1016/j.fcl.2020.08.006 |
Popis: | "Chronic syndesmotic injury covers a broad range of symptoms and pathologies. Anterolateral ankle impingement without instability is treated by arthroscopic debridement. Subacute, unstable, syndesmotic injuries are treated by arthroscopic or open debridement followed by secondary stabilization using suture button device or permanent screw placement. Chronic syndesmotic instability is treated by a near-anatomic ligamentoplasty supplemented by screw fixation. In case of poor bone stock, failed ligament reconstruction, or comorbidities, tibiofibular fusion with bone grafting is preferred. Malleolar malunions and particularly anterior or posterior syndesmotic avulsions must be corrected in order to achieve a stable and congruent ankle mortise." |
Databáze: | OpenAIRE |
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