M. K. Shaath, Warren A. Williams, John J. Kelly, Christopher H. Garrett, M. Munro, F. Avilucea, Joshua R. Langford, G. Haidukewych
{"title":"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","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":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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. 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Clinical and Radiographic Results Following Treatment of Traumatic Syndesmotic Instability Utilizing a Novel Screw-Suture Syndesmotic Fixation Device
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.
期刊介绍:
Journal of Orthopaedic Trauma is devoted exclusively to the diagnosis and management of hard and soft tissue trauma, including injuries to bone, muscle, ligament, and tendons, as well as spinal cord injuries. Under the guidance of a distinguished international board of editors, the journal provides the most current information on diagnostic techniques, new and improved surgical instruments and procedures, surgical implants and prosthetic devices, bioplastics and biometals; and physical therapy and rehabilitation.