O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION

B. Thornes; A. Walsh; P. Murray; E. Masterson; M. O’Brien

doi:10.1302/0301-620X.86BSUPP_III.0860255e

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O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION

B. Thornes
A. Walsh
P. Murray
E. Masterson
M. O’Brien

O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION

Thornes B, Walsh A, Murray P, Masterson E, O’Brien M. O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION. Orthop Procs. 2004;86-B(SUPP_III):255-255. doi:10.1302/0301-620X.86BSUPP_III.0860255e

Thornes, B., et al. “O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION.” Orthopaedic Proceedings, vol. 86-B, no. SUPP_III, 2004, pp. 255-255., https://doi.org/10.1302/0301-620X.86BSUPP_III.0860255e

Thornes, B., Walsh, A., Murray, P., Masterson, E., & O’Brien, M. (2004). O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION. Orthopaedic Proceedings, 86-B(SUPP_III), 255-255. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860255e

Thornes, B., Walsh, A., Murray, P., Masterson, E. and O’Brien, M. (2004) “O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION.” Orthopaedic Proceedings, 86-B(SUPP_III), pp. 255-255. Available at: https://doi.org/10.1302/0301-620X.86BSUPP_III.0860255e

Thornes, B., A. Walsh, P. Murray, E. Masterson, and M. O’Brien. “O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION.” Orthopaedic Proceedings 86-B, no. SUPP_III (2004): 255-255. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860255e

Thornes B, Walsh A, Murray P, Masterson E, O’Brien M. O1285 DESIGN, TESTING AND CLINICAL RESULTS OF A NEW TECHNIQUE OF ANKLE SYNDESMOSIS FIXATION. Orthop Procs. 2004 Mar 1;86-B(SUPP_III):255-255. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860255e

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Abstract

Aims: A new technique of syndesmosis fixation is proposed; placing buttons on both sides of the ankle, without opening the medial side, connected by a strong non-absorbable suture. We tested this against syndesmosis screw fixation in a cadaver model of a Maisonneuve injury and subsequently in a prospective clinical study. Methods: 16 cadaver legs were randomised to have suture-button or syndesmosis screw fixation and tested under torque loading. In the clinical study, 16 patients with a syndesmosis diastasis underwent suturebutton fixation and the results compared to 16 patients with syndesmosis screw fixation. Results: In the cadaver study, both groups had similar rates of diastasis, although the suture-button did give a more consistent performance: standard deviations were significantly lower (p=0.001). In the clinical study, mean A.O.F.A.S. scores at 3 months were significantly better in the suturebutton group (91 vs 82, p=0.01). No suture-button implants required removal, compared to 13/16 of the screw group (p=0.001). Conclusions: Suture-button syndesmosis fixation is simple, safe and physiological. Biomechanically it performs at least as well as screw fixation. Clinically it has shown improved outcomes, without needing routine removal. It may become the treatment of choice in syndesmosis injuries.

Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.