Cargando…
A 10-Year Follow-Up of Ankle Syndesmotic Injuries: Prospective Comparison of Knotless Suture-Button Fixation and Syndesmotic Screw Fixation
Background: Acute syndesmosis injury (ASI) is an indication for surgical stabilization if instability is confirmed. In recent years, fixation using the knotless suture-button (SB) device has become increasingly established as an alternative to set screw fixation (SF). This study directly compared th...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105986/ https://www.ncbi.nlm.nih.gov/pubmed/35566650 http://dx.doi.org/10.3390/jcm11092524 |
_version_ | 1784708171868143616 |
---|---|
author | Altmeppen, Jan Niklas Colcuc, Christian Balser, Christian Gramlich, Yves Klug, Alexander Neun, Oliver Manegold, Sebastian Hoffmann, Reinhard Fischer, Sebastian |
author_facet | Altmeppen, Jan Niklas Colcuc, Christian Balser, Christian Gramlich, Yves Klug, Alexander Neun, Oliver Manegold, Sebastian Hoffmann, Reinhard Fischer, Sebastian |
author_sort | Altmeppen, Jan Niklas |
collection | PubMed |
description | Background: Acute syndesmosis injury (ASI) is an indication for surgical stabilization if instability is confirmed. In recent years, fixation using the knotless suture-button (SB) device has become increasingly established as an alternative to set screw fixation (SF). This study directly compared the clinical long-term results after prospective randomized inclusion. Materials and Methods: Between 2011 and 2012, 62 patients with ASI were enrolled in a prospective, randomized, and monocentric study. Forty-one patients were available for a 10-year follow-up ((31 males and 10 females), including 21 treated with SB (mean age 44.4 years), and 20 with SF (mean age 47.2 years)). In addition to comparing the demographic data and syndesmosis injury etiology, follow-up assessed the Olerud–Molander Ankle Score (OMAS) and FADI-Score (Foot and Ankle Disability Index Score) with subscales for activities of daily living (ADL) and sports activity. Results: The mean OMAS was 95.98 points (SB: 98.81, SF: 93.00), the mean FADI ADL was 97.58 points (SB: 99.22, SF: 95.86), and the mean FADI Sport was 94.14 points (SB: 97.03, SF: 91.10). None of the measurements differed significantly between the groups (p > 0.05). No clinical suspicion of chronic instability remained in any of the patients, regardless of treatment. Conclusions: The short-term results showed that athletes in particular benefit from SB fixation due to their significantly faster return to sports activities. However, the available long-term results confirm a very good outcome in the clinical scores for both approaches. Chronic syndesmotic insufficiency was not suspected in any of the patients. Level of evidence: I, randomized controlled trial. |
format | Online Article Text |
id | pubmed-9105986 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91059862022-05-14 A 10-Year Follow-Up of Ankle Syndesmotic Injuries: Prospective Comparison of Knotless Suture-Button Fixation and Syndesmotic Screw Fixation Altmeppen, Jan Niklas Colcuc, Christian Balser, Christian Gramlich, Yves Klug, Alexander Neun, Oliver Manegold, Sebastian Hoffmann, Reinhard Fischer, Sebastian J Clin Med Article Background: Acute syndesmosis injury (ASI) is an indication for surgical stabilization if instability is confirmed. In recent years, fixation using the knotless suture-button (SB) device has become increasingly established as an alternative to set screw fixation (SF). This study directly compared the clinical long-term results after prospective randomized inclusion. Materials and Methods: Between 2011 and 2012, 62 patients with ASI were enrolled in a prospective, randomized, and monocentric study. Forty-one patients were available for a 10-year follow-up ((31 males and 10 females), including 21 treated with SB (mean age 44.4 years), and 20 with SF (mean age 47.2 years)). In addition to comparing the demographic data and syndesmosis injury etiology, follow-up assessed the Olerud–Molander Ankle Score (OMAS) and FADI-Score (Foot and Ankle Disability Index Score) with subscales for activities of daily living (ADL) and sports activity. Results: The mean OMAS was 95.98 points (SB: 98.81, SF: 93.00), the mean FADI ADL was 97.58 points (SB: 99.22, SF: 95.86), and the mean FADI Sport was 94.14 points (SB: 97.03, SF: 91.10). None of the measurements differed significantly between the groups (p > 0.05). No clinical suspicion of chronic instability remained in any of the patients, regardless of treatment. Conclusions: The short-term results showed that athletes in particular benefit from SB fixation due to their significantly faster return to sports activities. However, the available long-term results confirm a very good outcome in the clinical scores for both approaches. Chronic syndesmotic insufficiency was not suspected in any of the patients. Level of evidence: I, randomized controlled trial. MDPI 2022-04-30 /pmc/articles/PMC9105986/ /pubmed/35566650 http://dx.doi.org/10.3390/jcm11092524 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Altmeppen, Jan Niklas Colcuc, Christian Balser, Christian Gramlich, Yves Klug, Alexander Neun, Oliver Manegold, Sebastian Hoffmann, Reinhard Fischer, Sebastian A 10-Year Follow-Up of Ankle Syndesmotic Injuries: Prospective Comparison of Knotless Suture-Button Fixation and Syndesmotic Screw Fixation |
title | A 10-Year Follow-Up of Ankle Syndesmotic Injuries: Prospective Comparison of Knotless Suture-Button Fixation and Syndesmotic Screw Fixation |
title_full | A 10-Year Follow-Up of Ankle Syndesmotic Injuries: Prospective Comparison of Knotless Suture-Button Fixation and Syndesmotic Screw Fixation |
title_fullStr | A 10-Year Follow-Up of Ankle Syndesmotic Injuries: Prospective Comparison of Knotless Suture-Button Fixation and Syndesmotic Screw Fixation |
title_full_unstemmed | A 10-Year Follow-Up of Ankle Syndesmotic Injuries: Prospective Comparison of Knotless Suture-Button Fixation and Syndesmotic Screw Fixation |
title_short | A 10-Year Follow-Up of Ankle Syndesmotic Injuries: Prospective Comparison of Knotless Suture-Button Fixation and Syndesmotic Screw Fixation |
title_sort | 10-year follow-up of ankle syndesmotic injuries: prospective comparison of knotless suture-button fixation and syndesmotic screw fixation |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105986/ https://www.ncbi.nlm.nih.gov/pubmed/35566650 http://dx.doi.org/10.3390/jcm11092524 |
work_keys_str_mv | AT altmeppenjanniklas a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT colcucchristian a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT balserchristian a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT gramlichyves a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT klugalexander a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT neunoliver a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT manegoldsebastian a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT hoffmannreinhard a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT fischersebastian a10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT altmeppenjanniklas 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT colcucchristian 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT balserchristian 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT gramlichyves 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT klugalexander 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT neunoliver 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT manegoldsebastian 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT hoffmannreinhard 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation AT fischersebastian 10yearfollowupofanklesyndesmoticinjuriesprospectivecomparisonofknotlesssuturebuttonfixationandsyndesmoticscrewfixation |