top of page

Direct Ligament Repair in Syndesmotic Injury

Updated: Aug 24, 2022

There is nothing like syndesmotic injuries to inspire debate between the orthopedic trauma and foot and ankle communities. Screw fixation, suture button fixation, removal of screws, and timing all go into this lively debate. But what if we can repair the anterior inferior tibio-fibular ligament instead of trans-sydesmotic fixation?


Testing sydesmosis stability with different repairs

In their article, "Anterior Inferior Tibiofibular Ligament Suture Tapge Augmentation for Isolated Syndesmotic Injuries," Marissa D. Jamieson et al. examined 12 lower leg specimens with MTS machine. Testing conditions included intact sydesmosis, AITFL suture repair, AITFL suture repair and trans-sydesmotic button(SB), and AITFL suture repair augmented with suture tape among others. Motion capture system was used to study spatial relationship between tibia, talus and fibula. In this isolated syndesmotic injury model, the AITFL suture repair + AITFL augmentation best restored the rotational kinematics of the ankle.

AITFL suture repair + AIFTL augmentation is really good

The upshot of this study is that re-establishing rotational control by an augmented AITFL repair should be considered and controlled rotation better than the standard suture button alone.

Recent Posts

See All

Joint Line Considerations in TAA

by Vince Vacketta, DPM The importance of restoring the native joint line has been well studied in TKA. As surgeons continue to work to improve total ankle arthroplasty (TAA) results, new research focu

The Dreaded Cyst After Total Ankle Replacement

There is much is to be discovered concerning cysts and total ankle arthroplasty, but we do know is that cysts may lead to aseptic loosening and failure. Hip arthroplasty has connected peri-prosthetic

Preoperative Patient Related Factors and TAR Outcomes

Some patients report poor health-related quality of life after undergoing total hip arthroplasty (THA). Gustafsson et al. conducted a study to determine which factors, at the time of initial diagnosis

Comments


FIX Masthead 2000x318 v2.jpg
bottom of page