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  • Title: [SHORT-TERM EFFECTIVENESS OF TightRope SYSTEM FOR TREATMENT OF SYNDESMOTIC TIBIOFIBULAR DIASTASIS].
    Author: Li Y, Hong H, Liu H, Ding Z.
    Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2016 Aug 08; 30(8):971-974. PubMed ID: 29786227.
    Abstract:
    OBJECTIVE: To summarize the short-term effectiveness of TightRope system for the treatment of syndesmotic tibiofibular diastasis. METHODS: Between June 2013 and June 2015, 23 patients with syndesmotic tibiofibular diastasis were treated by TightRope system, including 15 males and 8 females with an average age of 32.3 years (range, 16-63 years). Injury was caused by sports in 13 cases, by traffic accident in 6 cases, and by falling from height in 4 cases. The locations were the left side in 13 cases and the right side in 10 cases. The time from injury to operation was 6 hours to 12 days (mean, 3.8 days). According to Lauge-Hansen classification, 13 cases were rated as supination-external rotation type, 7 cases as pronation-abduction type, and 3 cases as pronation-external rotation type; according to Weber classification, 5 cases were rated as type A, 11 cases as type B, and 7 cases as type C. RESULTS: The mean operative time was 68.1 minutes (range, 48-93 minutes); the mean intraoperative blood loss was 70.3 mL (range, 20-150 mL); and the mean hospitalization days were 7 days (range, 5-13 days). Superficial local skin necrosis occurred in 6 cases, and primary healing of incision was obtained in the others. All patients were followed up 8-30 months (mean, 16.4 months). X-ray films showed bone union was achieved within 6-12 weeks (mean, 9.4 weeks). No related complications of reduction failure and re-fracture occurred. The internal fixators were removed at 10-18 months postoperatively (mean, 13.3 months). According to American Orthopaedic Foot and Ankle Society (AOFAS) score for ankle function evaluation, the results were excellent in 19 cases and good in 4 cases at last follow-up. CONCLUSIONS: TightRope system is a good method to treat syndesmotic tibiofibular diastasis, because of safety, convenient operation, and satisfactory short-term effectiveness. 目的: 总结TightRope治疗下胫腓联合分离的近期疗效。. 方法: 2013年6月-2015年6月，应用TightRope治疗下胫腓联合分离23例。男15例，女8例；年龄16～63岁，平均32.3岁。致伤原因：运动伤13例，交通事故伤6例，高处摔伤4例。伤后至手术时间6 h～12 d，平均3.8 d。左侧13例，右侧10例。根据LaugeHansen分型标准：旋后外旋型13例，旋前外展型7例，旋前外旋型3例；根据Weber分型标准：A型5例，B型11例，C型7例。. 结果: 手术时间48～93 min，平均68.1 min；术中出血量20～150 mL，平均70.3 mL；住院时间5～13 d，平均7 d。术后6例出现切口炎性反应，其余患者切口均Ⅰ期愈合。患者均获随访，随访时间8～30个月，平均16.4个月。X线片复查示踝关节骨折均愈合，愈合时间6～12周，平均9.4周。无术后下胫腓联合复位失效、再骨折发生。术后10～18个月，平均13.3个月一次性取出内固定物。末次随访时踝关节功能按照美国矫形足踝协会（AOFAS）评分获优19例、良4例。. 结论: TightRope治疗下胫腓联合分离安全有效，手术操作简便，近期疗效满意。.
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