A novel method of using elastic bionic fixation device for distal tibiofibular syndesmosis injury

• Published in: International orthopaedics 2018-09, Vol.42 (9), p.2219-2229
• Main Authors: Wang, Lin, Zhang, Yingze, Song, Zhaohui, Chang, Hengrui, Tian, Ye, Zhang, Fei
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Ankle Fractures - surgery; Ankle Joint - surgery; Bionics; Female; Fibula - surgery; Follow-Up Studies; Fracture Fixation, Internal - instrumentation; Fracture Fixation, Internal - methods; Humans; Internal Fixators - adverse effects; Male; Medicine; Medicine & Public Health; Middle Aged; Original Paper; Orthopedics; Prospective Studies; Recovery of Function; Tibia - surgery; Treatment Outcome; Young Adult
• ISSN: 0341-2695; 1432-5195
• DOI: 10.1007/s00264-018-3869-z

Purpose To describe and evaluate the novel method of using elastic bionic fixation device in treating the distal tibiofibular syndesmosis (DTS) injury. Methods From June 2013 to January 2014, 17 subjects with ankle fractures combined with DTS separation were treated by the elastic bionic fixation device. The syndesmotic parameters, healing, functional scores, and possible complications were recorded. Results All patients had a mean follow-up of 23.35 ± 4.39 months (range, 15–28 months). Syndesmotic parameters returned to normal after surgery and remained normal throughout the follow-up period. X-ray examinations at 12 months follow-up showed no cable breakage of the elastic bionic fixation device or instrument invalidation compared to that of immediate post-operative X-ray films. Besides, no signs of articular degeneration and arthritis were observed. Furthermore, change in bone density near the fibular fixing button or tibial screw nut was also not detected. Primary wound healing was observed in 16 patients, while the remaining one showed redness and swelling of lateral ankle incision and got wound healing after seven to ten  days of antibiotic therapy and local radio frequency physiotherapy. All obtained excellent and good outcomes according to the AOFAS score at 12 months after surgery. Conclusions The use of elastic bionic fixation device appears to be a promising option in treating DTS injury because it can provide stable and reliable elastic fixation, good functional recovery, and relatively fewer complications.