Osteomyelitis After TightRope® Fixation of the Ankle Syndesmosis: A Case Report and Review of the Literature

被引:20
作者
Hong, Choon Chiet [1 ]
Lee, Wei Ting [1 ]
Tan, Ken Jin [1 ]
机构
[1] Natl Univ Singapore Hosp, Univ Orthopaed Hand & Reconstruct Microsurg Clust, Singapore 119228, Singapore
关键词
fibula; infection; open reduction internal fixation; prominent knot; suture-button device; tibia; SUTURE BUTTON; INJURIES; FRACTURE;
D O I
10.1053/j.jfas.2014.09.041
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Fixation of ankle syndesmosis injuries using the Ankle TightRope (R) has been gaining popularity. It has been shown to produce good results, facilitate early weightbearing, reduce the need for implant removal, and allow an earlier return to work and, possibly, a more anatomic syndesmotic reduction compared with screw fixation. However, its usage has been associated with complications such as soft tissue irritation, infection and wound breakdown, suture-button subsidence, and pathologic fracture from the screw tract. We describe a case of chronic osteomyelitis and suture-button migration associated with TightRope (R) fixation and a limited contact-dynamic compression plate for ankle syndesmosis disruption and lateral malleolus fracture. (C) 2015 by the American College of Foot and Ankle Surgeons. All rights reserved.
引用
收藏
页码:130 / 134
页数:5
相关论文
共 14 条
  • [1] EPIDEMIOLOGY OF ANKLE FRACTURE 1950 AND 1980 - INCREASING INCIDENCE IN ELDERLY WOMEN
    BENGNER, U
    JOHNELL, O
    REDLUNDJOHNELL, I
    [J]. ACTA ORTHOPAEDICA SCANDINAVICA, 1986, 57 (01): : 35 - 37
  • [2] Adult ankle fractures - an increasing problem?
    Court-Brown, CM
    McBirnie, J
    Wilson, G
    [J]. ACTA ORTHOPAEDICA SCANDINAVICA, 1998, 69 (01): : 43 - 47
  • [3] Outcomes of Suture Button Repair of the Distal Tibiofibular Syndesmosis
    DeGroot, Henry
    Al-Omari, Ali A.
    El Ghazaly, Sherif Ahmed
    [J]. FOOT & ANKLE INTERNATIONAL, 2011, 32 (03) : 250 - 256
  • [4] Avoiding Suture Knot Prominence With Suture Button Along Distal Fibula: Technical Tip
    Hodgson, Paul
    Thomas, Rhys
    [J]. FOOT & ANKLE INTERNATIONAL, 2011, 32 (09) : 908 - 909
  • [5] Pathologic Tibia/Fibula Fracture Through a Suture Button Screw Tract Case Report
    Hohman, Donald W.
    Affonso, Jesse
    Marzo, John M.
    Ritter, Christopher A.
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2011, 39 (03) : 645 - 648
  • [6] Mason LW, 2010, FOOT ANKLE ONLINE J, P3
  • [7] Syndesmotic screw placement: A biomechanical analysis
    McBryde, A
    Chiasson, B
    Wilhelm, A
    Donovan, F
    Ray, T
    Bacilla, P
    [J]. FOOT & ANKLE INTERNATIONAL, 1997, 18 (05) : 262 - 266
  • [8] Fixation of Ankle Syndesmotic Injuries Comparison of TightRope Fixation and Syndesmotic Screw Fixation for Accuracy of Syndesmotic Reduction
    Naqvi, Gohar A.
    Cunningham, Patricia
    Lynch, Bernadette
    Galvin, Rose
    Awan, Nasir
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2012, 40 (12) : 2828 - 2835
  • [9] Tightrope fixation of ankle syndesmosis injuries: Clinical outcome, complications and technique modification
    Naqvi, Gohar A.
    Shafqat, Aseer
    Awan, Nasir
    [J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2012, 43 (06): : 838 - 842
  • [10] An Anatomical Way of Treating Ankle Syndesmotic Injuries
    Qamar, Faisal
    Kadakia, Anish
    Venkateswaran, Balachandran
    [J]. JOURNAL OF FOOT & ANKLE SURGERY, 2011, 50 (06) : 762 - 765