Injury to the distal tibiofibular syndesmosis, ways to improve treatment results (literature review)

• DOI: 10.18019/1028-4427-2022-28-1-141-149
• Publication Date: 2022-03-04T00:33:11Z
• Authors: D.A. Nikiforov; M.A. Panin; ; ; V.G. Protsko; ; ; R.D. Borgut; ; ; R.N. Aliev
• Keywords: Syndesmosis; Cadaveric spasm

Introduction Treatment of patients with distal tibiofibular syndesmosis (DTFS) ruptures remains controversial. Ankle fractures accompanied by rupture are associated worse outcomes. There is no diagnosis and treatment algorithm for such injuries to date. The objective was summarize the data on syndesmotic injury alone in combination ankle through world literature review. Material methods A systematic search undertaken using elibrary, PubMed, ResearchGate databases articles dated 1990 later. depth 30 years. With preliminary information collected low-relevant were excluded. Meta-analysis studies, randomized controlled trials, reviews, cadaveric biomechanical studies reviewed. Results Screws suture buttons can be used fix DTFS, Volkmann, Shaput Wagstaff being transosseous DTFS repaired osteosynthesis. Imaging evaluation reduction produced radiography, MSCT, MRI arthroscopy. Partial if timely detected, treated conservatively transition surgical stabilization signs instability persist. Discussion Conventional radiography has very low diagnostic value injury. Bilateral MSCT recommended assessment a joint practical partial isolated injuries. Concomitant fibular notch tibia address first prior transsyndesmotic fixation. Open displaced lower risk malposition malreduction. Suture Removal positional screws does not affect functional result treatment. More stable osteosynthesis would needed neuropathy.