Current concepts review: operative techniques for stabilizing the distal tibiofibular syndesmosis
| Autor: | Eric E. J. Raven, Michel P.J. van den Bekerom |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Syndesmosis
Mortise and tenon 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Fibular notch medicine Humans Orthopedics and Sports Medicine Ankle Injuries Fibula Orthodontics 030222 orthopedics Tibia business.industry Equipment Design 030229 sport sciences musculoskeletal system Orthopedic Fixation Devices medicine.anatomical_structure Ligaments Articular Ligament Surgery Distal tibiofibular syndesmosis Ankle business |
| Zdroj: | Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society. 28(12):1302-1308 |
| ISSN: | 1071-1007 |
| Popis: | The distal tibiofibular syndesmosis is essential for the stability of the ankle joint that is required for weight transmission and walking.4,9,42 The syndesmosis consists of the anterior-inferior tibiofibular ligament, posterior-inferior tibiofibular ligament, inferior transverse tibiofibular ligament, and interosseous ligament. This complex stabilizes the mortise by securing the fibula in the fibular notch (incisura fibularis tibiae). Syndesmotic injuries most commonly are caused by pronation-external rotation, pronation-abduction and, less frequently, a supination-external rotation mechanism (DanisWeber C injuries).31 These forces cause the talus to abduct or to rotate externally in the mortise, leading to disruption of the syndesmotic ligaments.31,55 Anatomical restoration of the disrupted distal tibiofibular syndesmosis is essential.54 Widening and chronic instability of the distal tibiofibular syndesmosis have been correlated with poor functional outcomes and the development of osteoarthritis.11,16,41,44,52 Because nonoperative treatment cannot effectively stabilize the distal tibiofibular syndesmosis during healing, operative fixation often is recommended. However, the need for transsyndesmotic fixation of the distal tibiofibular joint is controversial, and recommendations for fixation for specific ankle injury patterns are conflicting.6 Other areas of controversy include the optimal number of cortices, the appropriate size of the screws, the position of the ankle joint during screw |
| Databáze: | OpenAIRE |
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