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Journals / Bağcılar Tıp Bülteni / 2021 / Cilt: 6 - Sayı: 4

Deltoid Ligament Repair in Addition to Syndesmotic Fixation in Distal Fibula Fractures is Associated with Better Clinical Results in Midand- Long-term Follow-up: A Comparative Study

Distal Fibula Kırıklarında Sindesmotik Fiksasyona Deltoid Ligament Tamirinin Eklenmesi Orta-uzun Dönem Takipte Daha İyi Klinik Sonuçlarla İlişkilidir: Karşılaştırmalı Bir Çalışma

Mirza Zafer DAĞTAŞ
Ömer Kays ÜNAL
Pages
431–437
Publication Date
2022-10-12
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Keywords: Ankle, deltoid ligament repair, distal fibula fractures, syndesmosis

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To evaluate mid to long term effects of adding deltoid ligament repair (DLR) to syndesmotic screw fixation (SSF) in the treatment of distal fibula fractures -in terms of functional and radiographic results and quality of life.
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Key Findings & Data:Results: 71.8% of the cases were male.
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Conclusion & Impact:Keywords: Ankle, deltoid ligament repair, distal fibula fractures, syndesmosis
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: To evaluate mid to long term effects of adding deltoid ligament repair (DLR) to syndesmotic screw fixation (SSF) in the treatment of distal fibula fractures -in terms of functional and radiographic results and quality of life. Method: Seventy-eight patients who underwent SSF or SSF+DLR with the diagnosis of distal fibula fracture in the Maltepe University Hospital, Department of Orthopedics and Traumatology were included in the study retrospectively. Results: 71.8% of the cases were male. The mean age was 39.24±11.95 years. The radiographic and functional results and quality of life were better in the SSF+DLR group compared to the SSF group. Additionally, the operation time was longer in the SSF+DLR group. Conclusion: Performing DLR in appropriate cases of distal fibula fracture may contribute to better clinical outcomes in the mid to long term. Keywords: Ankle, deltoid ligament repair, distal fibula fractures, syndesmosis

Özet

Amaç: Distal fibula kırıklarının tedavisinde sindesmotik vida fiksasyonuna (SSF) deltoid ligament tamirinin (DLR) eklenmesinin fonksiyonel ve radyografik sonuçlar ve yaşam kalitesi üzerindeki orta-uzun vadeli etkisini değerlendirmektir. Yöntem: Maltepe Üniversite Hastanesi Ortopedi ve Travmatoloji Anabilim Dalı’nda distal fibula kırığı tanısı ile SSF veya SSF+DLR yapılan 78 hasta geriye dönük olarak çalışmaya dahil edildi. Bulgular: Olguların %71,8’i erkekti. Ortalama yaş 39,24±11,95 yıldı. SSF grubu ile karşılaştırıldığında SSF+DLR grubunda radyografik, fonksiyonel sonuçlar ve yaşam kalitesi daha iyiydi. Ek olarak, SSF+DLR grubunda operasyon süresi daha uzundu. Sonuç: Distal fibula kırıklarında uygun olgularda DLR yapılması ortauzun vadede daha iyi klinik sonuçlara katkıda bulunabilir. Anahtar kelimeler: Ayak bileği, deltoid ligament tamiri, distal fibula kırıkları, sindesmoz

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Cite This Article

DAĞTAŞ, M. Z., ÜNAL, Ö. K. (2022). Deltoid Ligament Repair in Addition to Syndesmotic Fixation in Distal Fibula Fractures is Associated with Better Clinical Results in Midand- Long-term Follow-up: A Comparative Study. Bağcılar Tıp Bülteni, Cilt: 6 - Sayı: 4, 431–437. https://ajindex.com/articles/458941

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References (14)

  1. Andersen MR, Diep LM, Frihagen F, Hellund JC, Madsen JE, Figved W. Importance of syndesmotic reduction on clinical outcome after syndesmosis injuries. J Orthop Trauma 2019;33(8):397-403
  2. Mak MF, Stern R, Assal M. Repair of syndesmosis injury in ankle fractures: Current state of the art. EFORT Open Rev 2018;3(1):24- 29
  3. Jeong MS, Choi YS, Kim YJ, Kim JS, Young KW, Jung YY. Deltoid ligament in acute ankle injury: MR imaging analysis. Skeletal Radiol 2014;43(5):655-663
  4. Dabash S, Elabd A, Potter E, Fernandez I, Gerzina C, Thabet AM, et al. Adding deltoid ligament repair in ankle fracture treatment: is it necessary? A systematic review. Foot Ankle Surg 2019;25(6):714- 720
  5. Gu G, Yu J, Huo Y, Xu G, Yin Z, Yu J, et al. Efficacy of deltoid ligament reconstruction on the curative effect, complication and long-term prognosis in ankle fracture-dislocation with deltoid ligament injury. Int J Clin Exp Med 2017;10(9):13778-13783
  6. Diab HS. Suture anchor repair for ruptured deltoid ligament in pronation ankle fractures. Curr Orthop Pract 2017;28(5):459-464
  7. Yu GR, Zhang MZ, Aiyer A, Tang X, Xie M, Zeng LR, et al. Repair of the acute deltoid ligament complex rupture associated with ankle fractures: a multicenter clinical study. J Foot Ankle Surg 2015;54(2):198-202
  8. Wu K, Lin J, Huang J, Wang Q. Evaluation of transsyndesmotic fixation and primary deltoid ligament repair in ankle fractures with suspected combined deltoid ligament injury. J Foot Ankle Surg 2018;57(4):694-700
  9. Zhao HM, Lu J, Zhang F, Wen XD, Li Y, Hao DJ, et al. Surgical treatment of ankle fracture with or without deltoid ligament repair: a comparative study. BMC Musculoskelet Disord 2017;18(1):1-7
  10. Woo SH, Bae SY, Chung HJ. Short-term results of a ruptured deltoid ligament repair during an acute ankle fracture fixation. Foot Ankle Int 2018;39(1):35-45
  11. Li T, Sun X, Li Y, Yang M, Li S, Jiang X, et al. Clinical Study of Ankle Fracture Combined With Deltoid Ligament Injury: Repair or Not? A Retrospective, Comparative Study. J Foot Ankle Surg 2020;59(4):648-652
  12. Jones CR, Nunley JA. Deltoid ligament repair versus syndesmotic fixation in bimalleolar equivalent ankle fractures. J Orthop Trauma 2015;29(5):245-249
  13. Rosa I, Rodeia J, Fernandes PX, Teixeira R, Ribeiro H, Consciência JG. Comparison of deltoid ligament repair and syndesmotic fixation in malleolar fractures. Sci J Foot Ankle Surg 2019;13(3):205- 211
  14. Lee TH, Jang KS, Choi GW, Jeong CD, Hong SJ, Yoon MA, et a