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Management of Syndesmosis Injury: A Narrative Review
Jiayong Liu1, Daniel Valentine2, Nabil A Ebraheim1
1The University of Toledo Medical Center, Toledo, OH, USA.
Orthopedic Research and Reviews
|December 19, 2022
Summary
Syndesmosis injuries affect ankle function and may require conservative or surgical treatment based on severity. Surgical options for severe injuries include screws, nails, or dynamic fixation, with ongoing research for better methods.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Anatomy
Background:
- The distal tibiofibular syndesmosis is vital for ankle stability and weight-bearing.
- Syndesmosis injuries, often linked with ankle fractures, involve ligamentous disruption.
- Treatment varies by injury grade, from conservative measures to surgical intervention.
Purpose of the Study:
- To review current treatment strategies for syndesmosis injuries.
- To discuss various surgical fixation methods and their implications.
- To highlight the need for continued innovation in surgical techniques.
Main Methods:
- Review of literature on syndesmosis injury treatment.
- Analysis of conservative and surgical management options.
- Comparison of different surgical fixation devices.
Main Results:
- Grade 1 injuries typically managed conservatively with immobilization.
- Grade 2 injuries may be treated conservatively if stable, but surgery is often preferred.
- Grade 3 injuries and those associated with fractures generally require surgical reconstruction.
- Surgical options include syndesmosis screws, intramedullary nails, and dynamic button-suture fixation.
Conclusions:
- Treatment choice for syndesmosis injuries depends on injury grade and associated fractures.
- Various surgical techniques exist, each with unique benefits and drawbacks.
- Further research into novel materials and devices is essential for advancing fixation methods.
