Assessment of Open Syndesmosis Reduction Techniques in an Unbroken Fibula Model: Visualization Versus Palpation

Journal of Orthopaedic Trauma
Eric Quan PangMichael J Gardner

Abstract

This cadaveric study sought to evaluate the accuracy of syndesmotic reduction using direct visualization via an anterolateral approach compared with palpation of the syndesmosis through a laterally based incision. Ten cadaveric specimens were obtained and underwent baseline computed tomography (CT) scans. Subsequently, a complete syndesmotic injury was simulated by transecting the anterior inferior tibiofibular ligament, posterior inferior tibiofibular ligament, transverse ligament, interosseous membrane, and deltoid ligament. Three orthopaedic trauma surgeons were then asked to reduce each syndesmosis using direct visualization via an anterolateral approach. Specimens were then stabilized and underwent postreduction CT scans. Fixation was then removed, the anterolateral exposure was closed, and the surgeons were then asked to reduce the syndesmosis using palpation only via a direct lateral approach. Specimens were again instrumented and underwent postreduction CT scans. Two-tailed paired t tests were used to compare reductions with baseline scans with significance set at P < 0.05. There was no statistically significant difference between reduction via direct visualization or palpation via lateral approach when compared with ba...Continue Reading

References

Jun 1, 1990·Foot & Ankle·W J HopkinsonJ H Wheeler
Jan 29, 2005·Journal of Orthopaedic Trauma·Brad Weening, Mohit Bhandari
Oct 24, 2006·Foot & Ankle International·Michael J GardnerDean G Lorich
Oct 24, 2006·Foot & Ankle International·John LloydHiro Tanaka
May 15, 2009·Foot & Ankle International·Anna N MillerDean G Lorich
Feb 4, 2011·The American Journal of Sports Medicine·Brian R WatermanBrett D Owens
Feb 24, 2012·Journal of Orthopaedic Trauma·H Claude SagiRoy W Sanders
Apr 13, 2012·Journal of Orthopaedic Trauma·Gregory D DikosTimothy G Weber
May 3, 2012·Journal of Orthopaedic Trauma·Anna N MillerDaphne M Beingessner
Jul 10, 2012·Journal of Orthopaedic Trauma·Stéfanie GrenierAllan Liew
Jan 5, 2013·Journal of Orthopaedic Trauma·Marie-Lyne NaultStéphane Leduc
Jan 16, 2013·The Journal of Bone and Joint Surgery. American Volume·Phinit PhisitkulJ Lawrence Marsh
Jan 24, 2013·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Kenneth J HuntJason L Dragoo
Mar 27, 2013·Journal of Orthopaedic Trauma·Hobie D SummersMichael D Stover
May 16, 2013·Orthopedics·Joseph J SchreiberElan M Goldwyn
Oct 18, 2013·The Journal of Bone and Joint Surgery. American Volume·Roy I DavidovitchKenneth Egol
Jul 26, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Michael J GardnerSean E Nork
Aug 22, 2015·Journal of Orthopaedic Trauma·Steven M CherneyMichael J Gardner
Dec 4, 2015·The Journal of Bone and Joint Surgery. American Volume·Stephen J WarnerDean G Lorich
Jul 5, 2017·The Foot·Constantinos Louis LoizouGeorge Smith
Dec 20, 2017·Journal of Orthopaedic Trauma·Steven M CherneyMichael J Gardner

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Citations

Feb 6, 2021·Foot and Ankle Clinics·Derek S Stenquist, John Y Kwon
Feb 11, 2020·Zeitschrift für Orthopädie und Unfallchirurgie·Christine MarxStefan Rammelt
Jan 5, 2021·Journal of Orthopaedic Trauma·Patrick J KellamLucas S Marchand

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