Treatment of syndesmotic injury of ankle with bioabsorbable screw

생체흡수성 나사못을 이용한 원위경비관절 이개의 치료

  • Kang, Jae-Do (Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital) ;
  • Kim, Kwang-Ryul (Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital) ;
  • Kim, Hyung-Chun (Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital) ;
  • Lim, Moon-Sup (Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital) ;
  • Kim, Jin-Hyung (Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital) ;
  • Kim, Seong-Hoon (Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital)
  • 강재도 (왈레스 기념 침례병원 정형외과) ;
  • 김광열 (왈레스 기념 침례병원 정형외과) ;
  • 김형천 (왈레스 기념 침례병원 정형외과) ;
  • 임문섭 (왈레스 기념 침례병원 정형외과) ;
  • 김진형 (왈레스 기념 침례병원 정형외과) ;
  • 김성훈 (왈레스 기념 침례병원 정형외과)
  • Published : 2003.06.01

Abstract

Purpose: Bioabsorbable screws are used to fix the syndesmotic injury of ankle because of no need for additional operation to remove it. The purpose of this study is to assess the efficacy of polylevolactic acid (PLLA) screws of in the treatment of the syndesmotic injury of ankle. Materials and Methods: Eight patients of the syndesmotic injury of ankle with malleolar fracture were evaluated in this study. They were managed with plate and screw fixation for malleolar fracture and polylevolactic acid screw fixation for syndesmotic injury, followed by plaster splinting for 6 weeks. Clinical and radiographic evaluation were done and functional scores were assessed. Results: In all cases, malleolar fractures were healed without problematic widening of syndesmosis. There were no sinus tract formation and no wound complication. Of eight patients, five had excellent results and three had good results. Conclusion: We conclude that polylevolactic acid screw is good material for fixation of the syndesmotic injury of ankle.

Keywords