Anatomic Syndesmotic and Deltoid Ligament Reconstruction with Flexible Implants: A Technique Description

Christina J Hajewski; Kyle Duchman; Jessica Goetz; John Femino

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Anatomic Syndesmotic and Deltoid Ligament Reconstruction with Flexible Implants: A Technique Description

Journal article

Open access

Peer reviewed

Anatomic Syndesmotic and Deltoid Ligament Reconstruction with Flexible Implants: A Technique Description

Christina J Hajewski, Kyle Duchman, Jessica Goetz and John Femino

The Iowa orthopaedic journal, Vol.39(1), pp.21-27

2019

PMCID: PMC6604543

PMID: 31413670

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604543View

Published (Version of record) Open Access

Abstract

The optimal fixation method for unstable syndesmosis (SYN) injuries remains a matter of debate between rigid screw fixation that stabilizes all three components of the syndesmosis but prohibits any motion, and flexible implants stabilizing by compression along the axis of the interosseous ligament. More recently additional repairs of the anterior or posterior SYN ligaments have been explored both clinically and biomechanically. The role for deltoid ligament (DL) repair or reconstruction in the setting of SYN injury remains controversial. However, the DL is increasingly recognized as having an important contribution to rotational stability of the ankle. A method of treatment is presented for unstable SYN injuries with flexible implants. An anatomic approach to reconstructing the DL with specific augmentation of the anterior and posterior bands of the deep deltoid ligament (DDL) is described for immediate restoration of medial ankle rotational stability. V.

Ankle Fractures - surgery

Ankle Injuries - surgery

Ankle Joint - anatomy & histology

Ankle Joint - surgery

Cadaver

Dissection

Fracture Fixation, Internal - instrumentation

Fracture Fixation, Internal - methods

Humans

Joint Instability - prevention & control

Joint Instability - surgery

Ligaments, Articular - surgery

Prostheses and Implants

Prosthesis Design

Range of Motion, Articular - physiology

Reconstructive Surgical Procedures - instrumentation

Reconstructive Surgical Procedures - methods

Risk Assessment

Details

Title: Subtitle: Anatomic Syndesmotic and Deltoid Ligament Reconstruction with Flexible Implants: A Technique Description
Creators: Christina J Hajewski - University of Iowa
Kyle Duchman - University of Iowa
Jessica Goetz - University of Iowa
John Femino - University of Iowa
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.39(1), pp.21-27
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 31413670
PMCID: PMC6604543
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2019
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation
Record Identifier: 9984303984902771

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