The Experts below are selected from a list of 1074 Experts worldwide ranked by ideXlab platform
Yoshiharu Shimozono - One of the best experts on this subject based on the ideXlab platform.
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suture button versus syndesmotic screw for Syndesmosis injuries a meta analysis of randomized controlled trials
American Journal of Sports Medicine, 2019Co-Authors: Yoshiharu Shimozono, Eoghan T Hurley, Lucas C Myerson, Christopher D Murawski, John G KennedyAbstract:Background:Operative treatment is indicated for unstable Syndesmosis injuries, and approximately 20% of all ankle fractures require operative fixation for Syndesmosis injuries.Purpose:To perform a ...
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Suture Button versus Syndesmotic Screw for Syndesmotic Injuries
SAGE Publishing, 2018Co-Authors: Yoshiharu Shimozono, Eoghan Hurley Mbbch Bao, John Kennedy Md Frcs(orth)Abstract:Category: Trauma Introduction/Purpose: Syndesmotic injuries are a common athletic injury and involved in approximately 13% of ankle fractures. Screw fixation (SS) has been the most common fixation treatment for syndesmotic injury, however Syndesmosis malreduction has been reported to occur up to more than 50% in syndesmotic screw fixation. Recently, suture-button fixation (SB) technique has been developed to restore anatomic function of the Syndesmosis, with potential advantages of allowing physiological movement of Syndesmosis, anatomic healing, avoidance of implant removal and earlier rehabilitation. However, optimal surgical treatment is still controversial to date. The purpose of this study was to compare the clinical outcomes of SB and SS fixation techniques for syndesmotic injuries with a meta-analysis of the clinical studies comparing SB and SS fixation for Syndesmosis injuries. Methods: The literature search was performed according to the PRISMA guidelines to identify cohort studies comparing SB and SS fixation for Syndesmosis injuries. The level of evidence (LOE) was assessed based on the criteria by the Oxford-Centre for Evidence Based Medicine. Statistical analysis was performed using RevMan, and a p-value of < 0.05 was considered to be statistically significant. Results: Ten clinical studies were identified comparing 222 patients with SB to 235 patients with SS fixation. Patients treated with SB had a higher postoperative AOFAS score at a mean of 17.2 months (90.9 vs 87.3, p = 0.002). SB resulted in a lower rate of implant failure (0.0% vs 27.1%, p < 0.0001), implant removal failure (4.0% vs 37.5%, p < 0.0001), and joint malreduction (0.8% vs 10.7%, p = 0.009). However, there was no significant difference in the rate of other complications with SB (4.2% vs 8.6%, p = 0.21). Conclusion: SB fixation results in improved functional outcomes, lower rates of implant failure, and joint malreduction. Based on the findings of this meta-analysis SB appears to be favorable to SS for treating syndesmotic injuries
Daniel Guss - One of the best experts on this subject based on the ideXlab platform.
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utility of volumetric measurement via weight bearing computed tomography scan to diagnose syndesmotic instability
Foot & Ankle International, 2020Co-Authors: Rohan Bhimani, Daniel Guss, Bart Lubberts, Soheil Ashkaniesfahani, Noortje Hagemeijer, Gregory R Waryasz, Christopher W. DigiovanniAbstract:Background:Weight-bearing computed tomography (WBCT) allows evaluation of the distal Syndesmosis under physiologic load. We hypothesized that WBCT volumetric measurement of the distal Syndesmosis w...
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effect of sequential sectioning of ligaments on syndesmotic instability in the coronal plane evaluated arthroscopically
Foot & Ankle International, 2017Co-Authors: Jafet Massripugin, Daniel Guss, Bart Lubberts, Bryan G. Vopat, Ali Hosseini, Christopher W. DigiovanniAbstract:Background:Arthroscopic evaluation of the Syndesmosis allows direct visualization of syndesmotic instability. The purpose of this study was to determine the minimum degree of ligamentous injury nec...
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Arthroscopically measured syndesmotic stability after screw vs. suture button fixation in a cadaveric model
Injury, 2017Co-Authors: Bart Lubberts, Christopher W. Digiovanni, Bryan G. Vopat, Jonathon C. Wolf, Umile Giuseppe Longo, Daniel GussAbstract:Abstract Background Appropriate management of ankle syndesmotic instability is needed to prevent the development of complications. Previous biomechanical studies have evaluated movement of the fibula after screw or suture button fixations with different results, most likely being caused by variations in experimental setups that did not mirror the in vivo clinical setting. This study aimed to arthroscopically compare in a cadaveric model the stability of syndesmotic fixation with either a suture button or syndesmotic screw. Methods Eight fresh matched pairs of human ankle cadaver specimens (above knee) underwent arthroscopic assessment with (1) intact ligaments, (2) after complete disruption, and (3) after repair with either a quadracortical syndesmotic screw or suture button construct. In every stage, four loading conditions were considered under 100N of direct force: 1) unstressed, 2) lateral hook test, 3) anterior to posterior (AP) translation test, and 4) posterior to anterior (PA) translation test. Coronal plane tibiofibular diastasis, as well as sagittal plane tibiofibular translation, were arthroscopically measured. Results Coronal plane anterior and posterior tibiofibular diastasis and sagittal plane tibiofibular translation were measured using probes of increasing diameters. Following screw fixation, syndesmotic stability was similar to the uninjured Syndesmosis in the coronal plane (anterior, median 0.0 mm [IQR 0.0–0.3] vs. 0.3 mm [IQR 0.2–0.3]; p = 0.57; posterior, median 0.1 mm [IQR 0.0–0.4] vs. 0.2 mm [IQR 0.1–0.3]; p = 1.0) but more rigid in the sagittal plane (median 0.0 mm [IQR 0.0–0.1] vs. 1.0 mm [IQR 0.4–1.5]; p = 0.012). Repairing the unstable Syndesmosis with a suture button construct resulted in coronal plane stability similar to the uninjured Syndesmosis (anterior, median 0.2 mm [IQR 0.1–0.3] vs. 0.2 mm [IQR 0.1–0.3]; p = 0.48; posterior, median 0.2 mm [IQR 0.1–0.3] vs. 0.3 mm [IQR 0.1–0.5]; p = 0.44). However, sagittal plane fibular motion remained unstable as compared to the uninjured Syndesmosis (median 2.2 mm [IQR 1.6–2.6] vs. 0.8 mm [IQR 0.4–1.3]; p = 0.012). Conclusion Current fixation methods for syndesmotic disruption maintain coronal plane fibular stability. Screw and suture button constructs, however, respectively resulted in greater or insufficient constraint to fibular motion in the sagittal plane as compared to the intact syndesmotic ligament. These findings suggest that neither traditional screw nor suture button fixations optimally stabilize the Syndesmosis, which may have implications for postoperative care and clinical outcomes.
Tim Schepers - One of the best experts on this subject based on the ideXlab platform.
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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
John G Kennedy - One of the best experts on this subject based on the ideXlab platform.
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suture button versus syndesmotic screw for Syndesmosis injuries a meta analysis of randomized controlled trials
American Journal of Sports Medicine, 2019Co-Authors: Yoshiharu Shimozono, Eoghan T Hurley, Lucas C Myerson, Christopher D Murawski, John G KennedyAbstract:Background:Operative treatment is indicated for unstable Syndesmosis injuries, and approximately 20% of all ankle fractures require operative fixation for Syndesmosis injuries.Purpose:To perform a ...
Christopher W. Digiovanni - One of the best experts on this subject based on the ideXlab platform.
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utility of volumetric measurement via weight bearing computed tomography scan to diagnose syndesmotic instability
Foot & Ankle International, 2020Co-Authors: Rohan Bhimani, Daniel Guss, Bart Lubberts, Soheil Ashkaniesfahani, Noortje Hagemeijer, Gregory R Waryasz, Christopher W. DigiovanniAbstract:Background:Weight-bearing computed tomography (WBCT) allows evaluation of the distal Syndesmosis under physiologic load. We hypothesized that WBCT volumetric measurement of the distal Syndesmosis w...
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effect of sequential sectioning of ligaments on syndesmotic instability in the coronal plane evaluated arthroscopically
Foot & Ankle International, 2017Co-Authors: Jafet Massripugin, Daniel Guss, Bart Lubberts, Bryan G. Vopat, Ali Hosseini, Christopher W. DigiovanniAbstract:Background:Arthroscopic evaluation of the Syndesmosis allows direct visualization of syndesmotic instability. The purpose of this study was to determine the minimum degree of ligamentous injury nec...
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Arthroscopically measured syndesmotic stability after screw vs. suture button fixation in a cadaveric model
Injury, 2017Co-Authors: Bart Lubberts, Christopher W. Digiovanni, Bryan G. Vopat, Jonathon C. Wolf, Umile Giuseppe Longo, Daniel GussAbstract:Abstract Background Appropriate management of ankle syndesmotic instability is needed to prevent the development of complications. Previous biomechanical studies have evaluated movement of the fibula after screw or suture button fixations with different results, most likely being caused by variations in experimental setups that did not mirror the in vivo clinical setting. This study aimed to arthroscopically compare in a cadaveric model the stability of syndesmotic fixation with either a suture button or syndesmotic screw. Methods Eight fresh matched pairs of human ankle cadaver specimens (above knee) underwent arthroscopic assessment with (1) intact ligaments, (2) after complete disruption, and (3) after repair with either a quadracortical syndesmotic screw or suture button construct. In every stage, four loading conditions were considered under 100N of direct force: 1) unstressed, 2) lateral hook test, 3) anterior to posterior (AP) translation test, and 4) posterior to anterior (PA) translation test. Coronal plane tibiofibular diastasis, as well as sagittal plane tibiofibular translation, were arthroscopically measured. Results Coronal plane anterior and posterior tibiofibular diastasis and sagittal plane tibiofibular translation were measured using probes of increasing diameters. Following screw fixation, syndesmotic stability was similar to the uninjured Syndesmosis in the coronal plane (anterior, median 0.0 mm [IQR 0.0–0.3] vs. 0.3 mm [IQR 0.2–0.3]; p = 0.57; posterior, median 0.1 mm [IQR 0.0–0.4] vs. 0.2 mm [IQR 0.1–0.3]; p = 1.0) but more rigid in the sagittal plane (median 0.0 mm [IQR 0.0–0.1] vs. 1.0 mm [IQR 0.4–1.5]; p = 0.012). Repairing the unstable Syndesmosis with a suture button construct resulted in coronal plane stability similar to the uninjured Syndesmosis (anterior, median 0.2 mm [IQR 0.1–0.3] vs. 0.2 mm [IQR 0.1–0.3]; p = 0.48; posterior, median 0.2 mm [IQR 0.1–0.3] vs. 0.3 mm [IQR 0.1–0.5]; p = 0.44). However, sagittal plane fibular motion remained unstable as compared to the uninjured Syndesmosis (median 2.2 mm [IQR 1.6–2.6] vs. 0.8 mm [IQR 0.4–1.3]; p = 0.012). Conclusion Current fixation methods for syndesmotic disruption maintain coronal plane fibular stability. Screw and suture button constructs, however, respectively resulted in greater or insufficient constraint to fibular motion in the sagittal plane as compared to the intact syndesmotic ligament. These findings suggest that neither traditional screw nor suture button fixations optimally stabilize the Syndesmosis, which may have implications for postoperative care and clinical outcomes.
