Clinical and Radiographic Results Following Treatment of Traumatic Syndesmotic Instability Utilizing a Novel Screw-Suture Syndesmotic Fixation Device

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-04-23 DOI:10.1097/bot.0000000000002824

M. K. Shaath, Warren A. Williams, John J. Kelly, Christopher H. Garrett, M. Munro, F. Avilucea, Joshua R. Langford, G. Haidukewych

{"title":"Clinical and Radiographic Results Following Treatment of Traumatic Syndesmotic Instability Utilizing a Novel Screw-Suture Syndesmotic Fixation Device","authors":"M. K. Shaath, Warren A. Williams, John J. Kelly, Christopher H. Garrett, M. Munro, F. Avilucea, Joshua R. Langford, G. Haidukewych","doi":"10.1097/bot.0000000000002824","DOIUrl":null,"url":null,"abstract":"\n \n The objective of this study was to report early outcomes of a novel screw-suture syndesmotic device compared to suture button fixation devices when treating traumatic syndesmotic instability.\n Methods: Design: Retrospective chart review.\n \n \n \n Single academic Level-1 Trauma Center\n \n \n \n All adult patients who had syndesmotic fixation with the novel device (NSRI group) compared to a suture button device (SB group) between January 2018 and December 2022.\n \n Outcome Measures and Comparisons: Medial clear space (MCS) and tibiofibular overlap (TFO) measurements were compared immediately post-operatively and at final follow-up. Patients were followed for a minimum of 1-year or skeletal healing.\n \n \n \n Fifty-nine patients (25 female) with an average age of 47 years (range 19-78 years) were in the NSRI group compared to 52 patients (20 female) with an average age of 41 years (range 18-73 years) in the SB group. There were no significant differences when comparing Body Mass Index, diabetes, or smoking status between groups (p>0.05). There was no difference when comparing the post-operative and final MCS measurements in the NSRI group compared to the SB group (p=0.86; 95% CI [-0.32, 0.27). There was no difference when comparing the post-operative and final TFO measurements in the NSRI group compared to the SB group (p=0.79; 95% CI [-0.072, 0.09). There were 3 cases of implant removal in the NSRI group compared to 2 in the SB group (p=0.77). There was one failure in the NSRI group and none in the SB group. The remaining patients were all fully ambulatory at final follow-up (p=0.35).\n \n \n \n A novel screw-suture syndesmotic implant provides the fixation of a screw and the flexibility of a suture had similar radiographic outcomes compared to suture button fixation devices in treating ankle syndesmotic instability.\n \n \n \n Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.\n","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":"33 12","pages":""},"PeriodicalIF":17.7000,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/bot.0000000000002824","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

The objective of this study was to report early outcomes of a novel screw-suture syndesmotic device compared to suture button fixation devices when treating traumatic syndesmotic instability. Methods: Design: Retrospective chart review. Single academic Level-1 Trauma Center All adult patients who had syndesmotic fixation with the novel device (NSRI group) compared to a suture button device (SB group) between January 2018 and December 2022. Outcome Measures and Comparisons: Medial clear space (MCS) and tibiofibular overlap (TFO) measurements were compared immediately post-operatively and at final follow-up. Patients were followed for a minimum of 1-year or skeletal healing. Fifty-nine patients (25 female) with an average age of 47 years (range 19-78 years) were in the NSRI group compared to 52 patients (20 female) with an average age of 41 years (range 18-73 years) in the SB group. There were no significant differences when comparing Body Mass Index, diabetes, or smoking status between groups (p>0.05). There was no difference when comparing the post-operative and final MCS measurements in the NSRI group compared to the SB group (p=0.86; 95% CI [-0.32, 0.27). There was no difference when comparing the post-operative and final TFO measurements in the NSRI group compared to the SB group (p=0.79; 95% CI [-0.072, 0.09). There were 3 cases of implant removal in the NSRI group compared to 2 in the SB group (p=0.77). There was one failure in the NSRI group and none in the SB group. The remaining patients were all fully ambulatory at final follow-up (p=0.35). A novel screw-suture syndesmotic implant provides the fixation of a screw and the flexibility of a suture had similar radiographic outcomes compared to suture button fixation devices in treating ankle syndesmotic instability. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

利用新型螺钉-缝合巩膜固定装置治疗外伤性巩膜失稳的临床和放射学结果

本研究的目的是报告在治疗外伤性巩膜失稳时，新型螺钉缝合巩膜装置与缝合扣固定装置的早期疗效比较。研究方法设计：回顾性病历审查。单一学术一级创伤中心 2018 年 1 月至 2022 年 12 月期间，所有使用新型装置（NSRI 组）与缝合按钮装置（SB 组）进行巩膜固定的成年患者。结果测量和比较：比较术后即刻和最终随访时的内侧间隙（MCS）和胫腓重叠（TFO）测量值。对患者进行至少 1 年的随访或骨骼愈合随访。在 NSRI 组中，59 名患者（25 名女性）的平均年龄为 47 岁（19-78 岁不等），而在 SB 组中，52 名患者（20 名女性）的平均年龄为 41 岁（18-73 岁不等）。各组之间在体重指数、糖尿病或吸烟状况方面没有明显差异（P>0.05）。与 SB 组相比，NSRI 组的术后和最终 MCS 测量值没有差异（P=0.86；95% CI [-0.32, 0.27]）。与 SB 组相比，NSRI 组的术后和最终 TFO 测量值没有差异（P=0.79；95% CI [-0.072，0.09]）。NSRI 组有 3 例种植体移除，而 SB 组只有 2 例（P=0.77）。NSRI 组有 1 例植入失败，而 SB 组没有。其余患者在最后随访时均可完全活动（P=0.35）。在治疗踝关节巩膜不稳方面，一种新型的螺钉-缝合巩膜植入物具有螺钉的固定性和缝合线的灵活性，与缝合扣固定装置相比具有相似的影像学效果。治疗等级 III。有关证据等级的完整描述，请参阅 "作者须知"。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.