• Users Online: 273
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 48-53

The use of suspensory fixation for ankle syndesmotic injuries: A modified technique

1 Department of Orthopedic Surgery, Al-Azhar University Hospitals, Cairo, Egypt
2 Department of Orthopedic and Traumatology, General Shobra Hospital, Cairo, Egypt

Correspondence Address:
Dr. Ahmed I Hammouda
Department of Orthopedic Surgery, Al-Azhar University Hospitals, Cairo
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jllr.jllr_2_20

Rights and Permissions

Background: Ankle injuries are a common presentation to the orthopedic clinic and can be just isolated sprains or associated with ankle fractures; most of these involve distal tibiofibular syndesmotic disruptions. Bony or deltoid ligament injuries can critically destabilize the ankle and affect its function. Suspensory repair is a relatively new and accepted surgical treatment for acute ankle syndesmotic injuries. Objective: This study was conducted to evaluate the results of the use of suspensory fixation by modified TightRope (hand-made suture-button system) after acute ankle syndesmotic injury in adults. The American Orthopedic Foot and Ankle Society (AOFAS) score was used as a functional result in this study. Patients and Methods: This prospective study included 20 patients (mean age, 29.5 ± 9.7 years) with acute syndesmotic injuries treated with a suspensory fixation system between the period of January 2017 and December 2017, with a mean follow-up (FU) of 2 years. Variables recorded and analyzed were the age, sex, fracture type, mechanism of injury, associated injuries, FU, complications, and final outcomes. Results: As regarded twenty patients in this study, the median AOFAS score was 97 (range, 90–100). One patient needed implant removal as a result of persistent skin irritation. Conclusion: A modified technique of suture-button fixation is an alternative optimal treatment for acute syndesmotic injuries, resulting in stable functional ankles with less costs. Level IV: Level II.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded18    
    Comments [Add]    
    Cited by others 1    

Recommend this journal