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Tim Schepers - One of the best experts on this subject based on the ideXlab platform.
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Acute distal tibiofibular syndesmosis injury: a systematic review of Suture-Button versus syndesmotic screw repair
International Orthopaedics, 2012Co-Authors: Tim SchepersAbstract:Purpose Recently, a new Suture-Button fixation device has emerged for the treatment of acute distal tibiofibular syndesmotic injuries and its use is rapidly increasing. The current systematic review was undertaken to compare the biomechanical properties, functional outcome, need for implant removal, and the complication rate of syndesmotic disruptions treated with a Suture-Button device with the current 'gold standard', i.e. the syndesmotic screw. Method A literature search in the electronic databases of the Cochrane Library, EMbase, Pubmed Medline, and Google Scholar, between January 1st 2000 to December 1st 2011, was conducted to identify studies in which unstable ankle fractures with concomitant distal tibiofibular syndesmotic injury were treated with either a syndesmotic screw or a Suture-Button device. Results A total of six biomechanical studies, seven clinical full-text studies and four abstracts on the TightRope system, and 27 studies on syndesmotic screw or bolt fixation were identified. The AOFAS of 133 patients treated with TightRope was 89.1 points, with an average study follow-up of 19 months. The AOFAS score in studies with 253 patients treated with syndesmotic screws (metallic and absorbable) or bolts was 86.3 points, with an average study follow-up of 42 months. Two studies reported an earlier return to work in the TightRope group. Implant removal was reported in 22 (10%) of 220 patients treated with a TightRope (range, 0–25%), in the screw or bolt group the average was 51.9% of 866 patients (range, 5.8–100%). Conclusion The TightRope system has a similar outcome compared with the syndesmotic screw or bolt fixation, but might lead to a quicker return to work. The rate of implant removal is lower than in the syndesmotic screw group. There is currently insufficient evidence on the long-term effects of the TightRope and more uniform outcome reporting is desirable. In addition, there is a need for studies on cost-effectiveness of the treatment of acute distal tibiofibular syndesmotic disruption treated with a Suture-Button device.
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Acute distal tibiofibular syndesmosis injury: A systematic review of Suture-Button versus syndesmotic screw repair
Surgery and Traumatology, 2012Co-Authors: Tim SchepersAbstract:textabstractPurpose: Recently, a new Suture-Button fixation device has emerged for the treatment of acute distal tibiofibular syndesmotic injuries and its use is rapidly increasing. The current systematic review was undertaken to compare the biomechanical properties, functional outcome, need for implant removal, and the complication rate of syndesmotic disruptions treated with a Suture-Button device with the current 'gold standard', i.e. the syndesmotic screw. Method: A literature search in the electronic databases of the Cochrane Library, EMbase, Pubmed Medline, and Google Scholar, between January 1st 2000 to December 1st 2011, was conducted to identify studies in which unstable ankle fractures with concomitant distal tibiofibular syndesmotic injury were treated with either a syndesmotic screw or a Suture-Button device. Results: A total of six biomechanical studies, seven clinical full-text studies and four abstracts on the TightRope system, and 27 studies on syndesmotic screw or bolt fixation were identified. TheAOFAS of 133 patients treated with TightRope was 89.1 points, with an average study follow-up of 19 months. The AOFAS score in studies with 253 patients treated with syndesmotic screws (metallic and absorbable) or bolts was 86.3 points, with an average study follow-up of 42 months. Two studies reported an earlier return to work in the TightRope group. Implant removal was reported in 22 (10%) of 220 patients treated with a TightRope (range, 0-25%), in the screw or bolt group the average was 51.9% of 866 patients (range, 5.8-100%). Conclusion: The TightRope system has a similar outcome compared with the syndesmotic screw or bolt fixation, but might lead to a quicker return to work. The rate of implant removal is lower than in the syndesmotic screw group. There is currently insufficient evidence on the long-term effects of the TightRope and more uniform outcome reporting is desirable. In addition, there is a need for studies on cost-effectiveness of the treatment of acute distal tibiofibular syndesmotic disruption treated with a Suture-Button device.
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Acute distal tibiofibular syndesmosis injury: a systematic review of Suture-Button versus syndesmotic screw repair
International orthopaedics, 2012Co-Authors: Tim SchepersAbstract:Purpose Recently, a new Suture-Button fixation device has emerged for the treatment of acute distal tibiofibular syndesmotic injuries and its use is rapidly increasing. The current systematic review was undertaken to compare the biomechanical properties, functional outcome, need for implant removal, and the complication rate of syndesmotic disruptions treated with a Suture-Button device with the current 'gold standard', i.e. the syndesmotic screw.
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review of Suture-Button versus syndesmotic screw repair
2011Co-Authors: See Profile, Academisch Medisch, Tim SchepersAbstract:Reply to comment on Schepers: Acute distal tibiofibular syndesmosis injury: A systematic review of Suture-Button versus syndesmotic screw repai
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REVIEWARTICLE Acute distal tibiofibular syndesmosis injury: a systematic review of Suture-Button versus syndesmotic screw repair
2000Co-Authors: Tim Schepers, Cochrane Library, Pubmed MedlineAbstract:Purpose Recently, a new Suture-Button fixation device has emerged for the treatment of acute distal tibiofibular syn-desmotic injuries and its use is rapidly increasing. The current systematic review was undertaken to compare the biomechanical properties, functional outcome, need for im-plant removal, and the complication rate of syndesmotic disruptions treated with a Suture-Button device with the current 'gold standard', i.e. the syndesmotic screw. Method A literature search in the electronic databases of th
Neil F Jones - One of the best experts on this subject based on the ideXlab platform.
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failed Suture Button suspensionplasty of the thumb carpometacarpal joint salvaged using pyrocarbon arthroplasty
Journal of Hand Surgery (European Volume), 2017Co-Authors: Laura A Sonoda, Neil F JonesAbstract:Carpometacarpal joint arthritis of the thumb is a common problem. Mini Suture suspensionplasty has been reported as a successful treatment option. We describe a case of a ruptured Suture Button suspensionplasty that caused pain and thumb metacarpal subluxation. To our knowledge, this is the first reported mechanical failure of a Suture suspensionplasty. Surgeons should be aware of this potential complication when using this device to treat thumb carpometacarpal arthritis surgically.
Jeffrey D. Stone - One of the best experts on this subject based on the ideXlab platform.
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Basal joint osteoarthritis of the thumb: comparison of Suture Button versus abductor pollicis longus suspensionplasty
HAND, 2015Co-Authors: Kristopher R. Avant, Jason A. Nydick, Brian D. White, Lisa Vaccaro, Alfred V. Hess, Jeffrey D. StoneAbstract:Background Our purpose was to compare the outcomes of patients with severe basilar thumb osteoarthritis treated with trapeziectomy and suspensionplasty using abductor pollicis longus (APL) tendon versus a Suture Button device. Methods A retrospective study was performed for patients undergoing trapeziectomy and suspensionplasty with APL tendon or Suture Button fixation. Outcome measures included disabilities of the arm, shoulder, and hand (DASH); visual analog score (VAS); grip strength; key pinch; tip pinch; and thumb opposition. Radiographic measurements, surgical times, and complications were recorded. Results Thirty-three patients in the APL tendon group and 27 patients in the Suture Button group had a minimum 6-month follow-up. VAS, DASH, and functional measurements improved after surgery for both groups. Mean operative time was 68 min for the APL tendon group and 48 min for the Suture Button group. Complications were similar between groups. Conclusions The use of Suture Button fixation when compared to APL tendon suspensionplasty offers similar clinical outcomes. Type of study/level of evidence: Therapeutic III
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Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty:
Hand (New York N.Y.), 2014Co-Authors: Kristopher R. Avant, Jason A. Nydick, Brian D. White, Alfred V. Hess, Lisa M. Vaccaro, Jeffrey D. StoneAbstract:Background Our purpose was to compare the outcomes of patients with severe basilar thumb osteoarthritis treated with trapeziectomy and suspensionplasty using abductor pollicis longus (APL) tendon versus a Suture Button device.
Yohan Song - One of the best experts on this subject based on the ideXlab platform.
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Suture Button suspension following trapeziectomy in a cadaver model
HAND, 2013Co-Authors: Yohan SongAbstract:Background The safety and the effects of different trajectories on thumb motion of Suture-Button suspensionplasty post-trapeziectomy are not known. Methods In a cadaveric model, thumb range of motion, trapeziectomy space height, and distance between the device and nerve to the first dorsal interosseous muscle (first DI) were measured for proximal and distal trajectory groups. Proximal trajectory was defined as a Suture Button angle directed from the thumb metacarpal to the second metacarpal at a trajectory less than 60° from the horizontal; distal trajectory was defined as a Suture Button angle directed from the thumb metacarpal to the second metacarpal at a trajectory of greater than 60° from the horizontal (Fig. 1 ). Results There were no significant differences in range of motion and trapeziectomy space height between both groups. The device was significantly further away from the nerve to the first DI in the proximal trajectory group compared to the distal trajectory group, but was still safely away from the nerve in both groups (greater than 1 cm). Conclusions These results suggest that the device placement in either a proximal or distal location on the second metacarpal will yield similar results regarding safety and thumb range of motion.
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Suture-Button Suspensionplasty for Thumb Carpometacarpal Arthritis: A Minimum 2-Year Follow-Up
The Journal of hand surgery, 2013Co-Authors: Jeffrey Yao, Yohan SongAbstract:Purpose To retrospectively review the results at a minimum of 2 years of Suture-Button plasty with partial or full trapeziectomy and Suture-Button suspensionplasty. Methods We evaluated 21 patients who received Suture-Button suspensionplasty at least 2 years after surgery. We measured postoperative pinch strength, grip strength, range of motion, and metacarpal height. All patients also completed the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire. Results At an average follow-up of 2.8 ± 0.7 years, the mean Quick Disabilities of the Arm, Shoulder, and Hand score was 10 ± 9. Pinch and grip strengths were 86% and 89% of the contralateral limb, respectively. Average first trapezial height was 74% of the contralateral trapezial height. There were no major complications. Conclusions The favorable results of the Suture-Button suspensionplasty procedure confirm its usefulness in treating thumb carpometacarpal arthritis with minimal risk of complications, ineffective fixation, or loss of function. Subjective and objective outcomes measures are similar to previously described techniques. The benefit of this technique results from the implanted nature of the suspensionplasty elements that require no time to heal, so rehabilitation is begun as early as 10 days postoperatively. Type of study/level of evidence Therapeutic IV.
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Suture Button Suspension following Trapeziectomy in a Cadaver Model
Hand (New York N.Y.), 2012Co-Authors: Yohan Song, Christopher A. Cox, Jeffrey YaoAbstract:Background The safety and the effects of different trajectories on thumb motion of Suture-Button suspensionplasty post-trapeziectomy are not known.
Jeffrey Yao - One of the best experts on this subject based on the ideXlab platform.
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Suture-Button Suspensionplasty for Thumb Carpometacarpal Arthritis: A Minimum 2-Year Follow-Up
The Journal of hand surgery, 2013Co-Authors: Jeffrey Yao, Yohan SongAbstract:Purpose To retrospectively review the results at a minimum of 2 years of Suture-Button plasty with partial or full trapeziectomy and Suture-Button suspensionplasty. Methods We evaluated 21 patients who received Suture-Button suspensionplasty at least 2 years after surgery. We measured postoperative pinch strength, grip strength, range of motion, and metacarpal height. All patients also completed the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire. Results At an average follow-up of 2.8 ± 0.7 years, the mean Quick Disabilities of the Arm, Shoulder, and Hand score was 10 ± 9. Pinch and grip strengths were 86% and 89% of the contralateral limb, respectively. Average first trapezial height was 74% of the contralateral trapezial height. There were no major complications. Conclusions The favorable results of the Suture-Button suspensionplasty procedure confirm its usefulness in treating thumb carpometacarpal arthritis with minimal risk of complications, ineffective fixation, or loss of function. Subjective and objective outcomes measures are similar to previously described techniques. The benefit of this technique results from the implanted nature of the suspensionplasty elements that require no time to heal, so rehabilitation is begun as early as 10 days postoperatively. Type of study/level of evidence Therapeutic IV.
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Suture Button Suspension following Trapeziectomy in a Cadaver Model
Hand (New York N.Y.), 2012Co-Authors: Yohan Song, Christopher A. Cox, Jeffrey YaoAbstract:Background The safety and the effects of different trajectories on thumb motion of Suture-Button suspensionplasty post-trapeziectomy are not known.
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Suture Button Suspensionplasty After Arthroscopic Hemitrapeziectomy for Treatment of Thumb Carpometacarpal Arthritis
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the Internation, 2010Co-Authors: Christopher A. Cox, Dan A. Zlotolow, Jeffrey YaoAbstract:A myriad of techniques for reconstruction of the arthritic thumb carpometacarpal joint have been described. In the modern era, there has been a push, driven by both clinicians and patients, for more rapid rehabilitation after these procedures. A majority of the historically described techniques require pinning of the thumb ray for 4 weeks. Suture Button placement between the thumb and index ray metacarpals has been shown in biomechanical studies to effectively resist subsidence of the thumb ray. We describe a novel technique of using a Suture Button for suspensionplasty of the thumb ray after arthroscopic partial trapeziectomy. This technique allows for early mobilization and may offer a potential improvement on current techniques. Early results of use of this technique are encouraging, but well-conducted follow-up studies are necessary.
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Technical Note With Video Illustration Suture Button Suspensionplasty After Arthroscopic Hemitrapeziectomy for Treatment of Thumb Carpometacarpal Arthritis
2010Co-Authors: Christopher A. Cox, Dan A. Zlotolow, Jeffrey YaoAbstract:A myriad of techniques for reconstruction of the arthritic thumb carpometacarpal joint have been described. In the modern era, there has been a push, driven by both clinicians and patients, for more rapid rehabilitation after these procedures. A majority of the historically described tech- niques require pinning of the thumb ray for 4 weeks. Suture Button placement between the thumb and index ray metacarpals has been shown in biomechanical studies to effectively resist subsidence of the thumb ray. We describe a novel technique of using a Suture Button for suspensionplasty of the thumb ray after arthroscopic partial trapeziectomy. This technique allows for early mobilization and may offer a potential improvement on current techniques. Early results of use of this technique are encouraging, but well-conducted follow-up studies are necessary.
