Progress in the treatment of tibiofibular syndesmosis injury associated with ankle fracture
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 33, Issue 9, Pages: 749-752(2024)
- 作者机构：
重庆医科大学附属第一医院创伤骨科，重庆 400042
- 作者简介：
- 基金信息：
DOI：10.11659/jjssx.07E023068
CLC： R683.42Published：25 September 2024，
Received：15 July 2023，
- 稿件说明：
移动端阅览
赵鸿鲜,高仕长.伴踝关节骨折的下胫腓联合损伤的治疗进展[J].局解手术学杂志,2024,33(09):749-752.
ZHAO Hong-xian,GAO Shi-chang.Progress in the treatment of tibiofibular syndesmosis injury associated with ankle fracture[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(09):749-752.
赵鸿鲜,高仕长.伴踝关节骨折的下胫腓联合损伤的治疗进展[J].局解手术学杂志,2024,33(09):749-752. DOI： 10.11659/jjssx.07E023068.
ZHAO Hong-xian,GAO Shi-chang.Progress in the treatment of tibiofibular syndesmosis injury associated with ankle fracture[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(09):749-752. DOI： 10.11659/jjssx.07E023068.
摘要
伴踝关节骨折的下胫腓联合损伤是临床上常见的踝关节损伤，下胫腓联合对踝关节的稳定性至关重要。在治疗上，金属螺钉一直是治疗下胫腓联合损伤的金标准，目前可吸收螺钉、纽扣缝线、锚钉缝线增强修复下胫腓联合韧带等技术的发展为临床治疗下胫腓联合损伤提供了新的思路，且更符合生物力学要求。但由于各项技术的优缺点不同，应具体把握其适应证。
Abstract
The tibiofibular syndesmosis injury associated with ankle fracture is a common ankle injury in clinical practice and tibiofibular syndesmosis is very important for ankle stability. In terms of treatment， metal screws have always been the gold standard for the treatment of tibiofibular syndesmosis injury. At present， the development of absorbable screws， suture button and enhanced repair with anchor suture of lower tibiofibular syndesmosis ligaments provide a new idea for the clinical treatment of tibiofibular syndesmosis injury， which is more in line with biomechanical requirements. However， due to the different advantages and disadvantages of each technology， the indications should be specifically grasped.
关键词
踝关节骨折下胫腓联合损伤联合螺钉纽扣缝线
Keywords
ankle fracturetibiofibular syndesmosis injurysyndesmotic screwsuture button
references
Tourné Y， Molinier F， Andrieu M，et al.Diagnosis and treatment of tibiofibular syndesmosis lesions［J］. Orthop Traumatol Surg Res， 2019， 105（8S）：S275-S286. doi： 10.1016/j.otsr.2019.09.014http://dx.doi.org/10.1016/j.otsr.2019.09.014.
Magan A，Golano P，Maffulli N，et al.Evaluation and management of injuries of the tibiofibular syndesmosis［J］.Br Med Bull，2014，111（1）：101-115.doi：10.1093/bmb/ldu020http://dx.doi.org/10.1093/bmb/ldu020.
Tano A，Nimura A，Tsutsumi M，et al.Anatomical study of the interosseous ligament of the tibiofibular syndesmosis：an analysis of osseous morphology and attaching interposing structures［J］.J Bone Joint Surg Am，2021，103（10）：905-912.doi：10.2106/jbjs.20.01545http://dx.doi.org/10.2106/jbjs.20.01545.
Khambete P，Harlow E，Ina J，et al.Biomechanics of the distal tibiofibular syndesmosis：a systematic review of cadaveric studies［J］.Foot Ankle Orthop，2021，6（2）：24730114211012701.doi：10.1177/24730114211012701http://dx.doi.org/10.1177/24730114211012701.
Dattani R，Patnaik S，Kantak A，et al.Injuries to the tibiofibular syndesmosis［J］.J Bone Joint Surg Br，2008，90（4）：405-410.doi：10.1302/0301-620x.90b4.19750http://dx.doi.org/10.1302/0301-620x.90b4.19750.
Shiwaku K，Teramoto A，Iba K，et al.The prevalence of posterior inferior tibiofibular ligament and inferior tibiofibular transverse ligament injuries in syndesmosis-injured ankles evaluated by oblique axial magnetic resonance imaging：a retrospective study［J］.BMC Musculoskelet Disord，2022，23（1）：264.doi：10.1186/s12891-022-05220-0http://dx.doi.org/10.1186/s12891-022-05220-0.
de-Las-Heras Romero J，Alvarez AML，Sanchez FM，et al.Management of syndesmotic injuries of the ankle［J］.EFORT Open Rev，2017，2（9）：403-409.doi：10.1302/2058-5241.2.160084http://dx.doi.org/10.1302/2058-5241.2.160084.
Wake J，Martin KD.Syndesmosis injury from diagnosis to repair：physical examination，diagnosis，and arthroscopic-assisted reduction［J］.Am Acad Orthop Surg，2020，28（13）：517-527.doi：10.5435/JAAOS-D-19-00358http://dx.doi.org/10.5435/JAAOS-D-19-00358.
Baumbach SF，Synek A，Spindler FT，et al.Safe drilling zones for anteriorly，central，and posteriorly angulated syndesmotic stabilization devices［J］.Knee Surg Sports Traumatol Arthrosc，2023，31（6）：2199-2207.doi：10.1007/s00167-022-07291-xhttp://dx.doi.org/10.1007/s00167-022-07291-x.
Markolf KL，Jackson SR，McAllister DR.Syndesmosis fixation using dual 3.5 mm and 4.5 mm screws with tricortical and quadricortical purchase：a biomechanical study［J］.Foot Ankle Int，2013，34（5）：734-739.doi：10.1177/1071100713478923http://dx.doi.org/10.1177/1071100713478923.
Høiness P，Strømsøe K.Tricortical versus quadricortical syndesmosis fixation in ankle fractures：a prospective，randomized study comparing two methods of syndesmosis fixation［J］.J Orthop Trauma，2004，18（6）：331-337.doi：10.1097/00005131-200407000-00001http://dx.doi.org/10.1097/00005131-200407000-00001.
Vohra R，Singh A，Thorat B，et al.Instability of the distal tibiofibular syndesmosis［J］.J Orthop Surg （Hong Kong），2023，31（2）：10225536231182349.doi：10.1177/10225536231182349http://dx.doi.org/10.1177/10225536231182349.
Cornu O，Manon J，Tribak K，et al.Traumatic injuries of the distal tibiofibular syndesmosis［J］.Orthop Traumatol Surg Res，2021，107（1S）：102778.doi：10.1016/j.otsr.2020.102778http://dx.doi.org/10.1016/j.otsr.2020.102778.
Barbarey A， Serwy B，Tarawy A， et al. One-screw versus two-screw fixation of syndesmosis in bimalleolar ankle fractures associated with syndesmotic injury［J］.Menoufia Med J，2022， 35（3）： 1555-1560. doi： 10.4103/mmj.mmj_88_22http://dx.doi.org/10.4103/mmj.mmj_88_22.
祝健.免打结锁扣带袢钛板与皮质骨螺钉内固定治疗下胫腓联合分离的疗效比较［J］.黑龙江医药，2022，35（5）：1172-1174.doi：10.14035/j.cnki.hljyy.2022.05.064http://dx.doi.org/10.14035/j.cnki.hljyy.2022.05.064.
Huang CT，Huang PJ，Lu CC，et al.Syndesmosis changes before and after syndesmotic screw removal：a retrospective radiographic study［J］.Medicina （Kaunas），2022，58（3）：445.doi：10.3390/medicina 58030445http://dx.doi.org/10.3390/medicina58030445.
Lee JS，Curnutte B，Pan K，et al.Biomechanical comparison of suture-button，bioabsorbable screw，and metal screw for ankle syndesmotic repair：a meta-analysis［J］.Foot Ankle Surg，2021，27（2）：117-122.doi：10.1016/j.fas.2020.03.008http://dx.doi.org/10.1016/j.fas.2020.03.008.
袁心伟，张斌，胡豇，等.金属螺钉与可吸收螺钉修复下胫腓韧带复合体近期疗效比较［J］.中国修复重建外科杂志，2022，36（8）：989-994.doi：10.7507/1002-1892.202201101http://dx.doi.org/10.7507/1002-1892.202201101.
Liu J，Pathak G，Joshi M，et al.A meta-analysis comparing the outcomes of syndesmotic injury treated with metal screw，dynamic fixation，and bioabsorbable screw［J］.J Orthop，2021，25：82-87.doi：10.1016/j.jor.2021.04.006http://dx.doi.org/10.1016/j.jor.2021.04.006.
温晓东，鹿军，赵宏谋，等.金属与可吸收螺钉固定下胫腓联合损伤比较［J］.中国矫形外科杂志，2020，28（8）：676-681.doi：10.3977/j.issn.1005-8478.2020.08.02http://dx.doi.org/10.3977/j.issn.1005-8478.2020.08.02.
Xu K，Zhang J，Zhang P，et al.Comparison of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury：a meta-analysis［J］.J Foot Ankle Surg，2021，60（3）：555-566.doi：10.1053/j.jfas.2020.08.005http://dx.doi.org/10.1053/j.jfas.2020.08.005.
Xu Y，Kang R，Li M，et al.The clinical efficacy of suture-button fixation and trans-syndesmotic screw fixation in the treatment of ankle fracture combined with distal tibiofibular syndesmosis injury：a retrospective study［J］.J Foot Ankle Surg，2022，61（1）：143-148.doi：10.1053/j.jfas.2021.07.009http://dx.doi.org/10.1053/j.jfas.2021.07.009.
Yawar B，Hanratty B，Asim A，et al.Suture-button versus syndesmotic screw fixation of ankle fractures：a comparative retrospective review over one year［J］.Cureus，2021，13（9）：e17826.doi：10.7759/cureus.17826http://dx.doi.org/10.7759/cureus.17826.
Kimura S，Yamaguchi S，Ono Y，et al.Changes in the syndesmotic reduction after syndesmotic suture-button fixation for ankle malleolar fractures：1-year longitudinal evaluations using computed tomography［J］.Foot Ankle Int，2021，42（10）：1270-1276.doi：10.1177/10711007211008518http://dx.doi.org/10.1177/10711007211008518.
van den Bekerom MP，Hogervorst M，Bolhuis HW，et al.Operative aspects of the syndesmotic screw：review of current concepts［J］.Injury，2008，39（4）：491-498.doi：10.1016/j.injury.2007.11.425http://dx.doi.org/10.1016/j.injury.2007.11.425.
Vopat ML，Vopat BG，Lubberts B，et al.Current trends in the diagnosis and management of syndesmotic injury［J］. Curr Rev Musculoskelet Med，2017，10（1）：94-103.doi：10.1007/s12178-017-9389-4http://dx.doi.org/10.1007/s12178-017-9389-4.
Dahmen J，Jaddi S，Hagemeijer NC，et al.Incidence of （Osteo） chondral lesions of the ankle in isolated syndesmotic injuries：a systematic review and meta-analysis［J］.Cartilage，2022，13（2）：19476035221102569.doi：10.1177/19476035221102569http://dx.doi.org/10.1177/19476035221102569.
He JQ，Ma XL，Xin JY，et al.Pathoanatomy and injury mechanism of typical Maisonneuve fracture［J］.Orthop Surg，2020，12（6）：1644-1651.doi：10.1111/os.12733http://dx.doi.org/10.1111/os.12733.
薛阳，赵永杰，邓明明，等.TightRope弹性固定联合下胫腓韧带功能性全修复治疗下胫腓联合损伤［J］.中国修复重建外科杂志，2023，37（8）：964-969.doi：10.7507/1002-1892.202305020http://dx.doi.org/10.7507/1002-1892.202305020.
Kim GB，Park CH.Hybrid fixation for Danis-Weber type C fractures with syndesmosis injury［J］.Foot Ankle Int，2021，42（2）：137-144.doi：10.1177/1071100720964799http://dx.doi.org/10.1177/1071100720964799.
Naqvi GA，Shafqat A，Awan N.Tightrope fixation of ankle syndesmosis injuries：clinical outcome，complications and technique modification［J］.Injury，2012，43（6）：838-842.doi：10.1016/j.injury.2011.10.002http://dx.doi.org/10.1016/j.injury.2011.10.002.
Bae KJ，Kang SB，Kim J，et al.Reduction and fixation of anterior inferior tibiofibular ligament avulsion fracture without syndesmotic screw fixation in rotational ankle fracture［J］.J Int Med Res，2020，48（4）：300060519882550.doi：10.1177/0300060519882550http://dx.doi.org/10.1177/0300060519882550.
Marques Ribeiro H，Silva J，Teixeira R，et al.Clinical outcomes and trans-syndesmotic screw frequency after posterior malleolar fracture osteosynthesis［J］.Injury，2021，52（3）：633-637.doi：10.1016/j.injury.2020.10.021http://dx.doi.org/10.1016/j.injury.2020.10.021.
Takahashi K，Teramoto A，Murahashi Y，et al.Comparison of treatment methods for syndesmotic injuries with posterior tibiofibular ligament ruptures：a cadaveric biomechanical study［J］.Orthop J Sports Med，2022，10（9）：23259671221122811.doi：10.1177/23259671221122811http://dx.doi.org/10.1177/23259671221122811.
Lin X，Tu C，Lin W，et al.Comparison the treatment of anterior inferior tibiofibular ligament anatomical repair and syndesmosis screw fixation for syndesmotic injuries in ankle fracture［J］.BMC Surg，2023，23（1）：80.doi：10.1186/s12893-023-01982-zhttp://dx.doi.org/10.1186/s12893-023-01982-z.
周金华，张文玺，刘国旗，等.韧带修复与拉力钉固定下胫腓联合损伤的比较［J］.中国矫形外科杂志，2022，30（18）：1716-1719.doi：10.3977/j.issn.1005-8478.2022.18.19http://dx.doi.org/10.3977/j.issn.1005-8478.2022.18.19.
Whitlock KG，LaRose M，Barber H，et al.Deltoid ligament repair versus trans-syndesmotic fixation for bimalleolar equivalent ankle fractures［J］.Injury，2022，53（6）：2292-2296.doi：10.1016/j.injury.2022.03.063http://dx.doi.org/10.1016/j.injury.2022.03.063.
Guo W，Lin W，Chen W，et al.Comparison of deltoid ligament repair and non-repair in acute ankle fracture：a meta-analysis of comparative studies［J］.PLoS One，2021，16（11）：e0258785.doi：10.1371/journal.pone.0258785http://dx.doi.org/10.1371/journal.pone.0258785.
Chun DI，Cho JH，Min TH，et al.Diagnostic accuracy of radiologic methods for ankle syndesmosis injury：a systematic review and meta-analysis［J］.J Clin Med，2019，8（7）：968.doi：10.3390/jcm8070968http://dx.doi.org/10.3390/jcm8070968.
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