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Short-Term Results of Surgical Treatment Using TightRopeTM for Acute Ankle Syndesmosis Injury

급성 족근 관절 원위 경비인대결합 손상에서 TightRopeTM를 이용한 수술의 단기 치료 결과

  • Kim, Do Young (Department of Orthopedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Jun Hyuck (Department of Orthopedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Jung Hyun (Department of Anatomy, College of Medicine, Kangwon National University) ;
  • Cho, Jaeho (Department of Orthopedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine)
  • 김도영 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 이준혁 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 박정현 (강원대학교 의학과 해부학교실) ;
  • 조재호 (한림대학교 의과대학 춘천성심병원 정형외과학교실)
  • Received : 2016.08.10
  • Accepted : 2016.10.05
  • Published : 2016.12.15

Abstract

Purpose: The purpose of this study was to evaluate the clinical and radiologic outcome of syndesmosis fixation using TightRope$^{TM}$ (Arthrex, Naples, FL, USA) in acute syndesmosis injuries. Materials and Methods: Twenty-five consecutive patients with acute syndesmosis injuries, treated using TightRope$^{TM}$, were reviewed. Patients were evaluated preoperatively and at the last follow-up (at least 12 months postoperatively). Clinical outcomes were assessed using American Orthopaedics Foot and Ankle Society (AOFAS) ankle-hindfoot score and self-subjective satisfaction survey. Three radiologic parameters were evaluated two times at the preoperative and final follow up from the nonweightbearing ankle anteroposterior radiographs. Results: The mean AOFAS ankle-hindfoot score was 95.5 at the final follow-up. According to the satisfaction survey, 21 patients chose excellent, and four patients chose good. All radiologic parameters, including the mean tibiofibular clear space, mean tibiofibular overlap, and mean medial clear space on nonweightbearing ankle anteroposterior view, significantly improved after surgery. Complications occurred in only one patient who experienced knot irritation with infection. Conclusion: The short-term surgical results of syndesmosis fixation using TightRope$^{TM}$ were good to excellent, both clinically and radiographically. These results suggest that the fixation using TightRope$^{TM}$ is a valid option for acute syndesmosis injury.

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