Foot & ankle specialist · 2026
Flexible Triple Fixation for Chronic Syndesmotic Instability: A Technical Tip.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Nishikawa Danilo Ryuko Cândido, Saito Guilherme Honda, Fairbanks Paula Jardim, Mendes Alberto Abussamra Moreira, Prado Marcelo Pires
Аннотация
BACKGROUND: Chronic syndesmotic instability alters normal ankle biomechanics and impairs load distribution, potentially leading to degenerative arthritis. The aim of this study was to describe a technical tip for the treatment of chronic tibiofibular instability using a triple-fixation construct, combining a suture button and FiberTape.
METHODS: We described the triple-fixation technique and reviewed the cases of 3 patients, aged 22, 25, and 53 years, all diagnosed with chronic syndesmotic instability associated with incongruence of the distal tibiofibular joint.
RESULTS: The mean preoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores were 54, 73, and 77, respectively. Postoperatively, all patients achieved a score of 100. The mean follow-up periods were 11, 14, and 17 months, respectively. One patient reported mild discomfort at the suture-button knot site, but no other complications were reported.
CONCLUSION: The triple-fixation technique proved effective in stabilizing chronic syndesmotic injuries in all cases presented. This construct may be considered a viable option for addressing residual instability in patients with chronic distal tibiofibular joint lesions. However, these findings should be interpreted within the context of the study's limitations, including its technical-tip design, small cohort size, relatively short follow-up for a chronic pathology, and lack of randomization.Level of Evidence: V, technical tip and case report.
METHODS: We described the triple-fixation technique and reviewed the cases of 3 patients, aged 22, 25, and 53 years, all diagnosed with chronic syndesmotic instability associated with incongruence of the distal tibiofibular joint.
RESULTS: The mean preoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores were 54, 73, and 77, respectively. Postoperatively, all patients achieved a score of 100. The mean follow-up periods were 11, 14, and 17 months, respectively. One patient reported mild discomfort at the suture-button knot site, but no other complications were reported.
CONCLUSION: The triple-fixation technique proved effective in stabilizing chronic syndesmotic injuries in all cases presented. This construct may be considered a viable option for addressing residual instability in patients with chronic distal tibiofibular joint lesions. However, these findings should be interpreted within the context of the study's limitations, including its technical-tip design, small cohort size, relatively short follow-up for a chronic pathology, and lack of randomization.Level of Evidence: V, technical tip and case report.