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• W3008794239 abstract "Injury to the distal tibiofibular syndesmosis is common and failure to correct instability may lead to inferior outcomes. Recently, suture-button devices have garnered increasing attention for dynamic syndesmotic fixation. However, current constructs and techniques have been consistently associated with complications such as lateral knot irritation and wound breakdown. In addition, knot slippage, loosening, and osteolysis have been described leading to recurrent syndesmotic diastasis. To address these shortcomings, a continuous loop double cortical button technique has been developed for dynamic syndesmotic stabilization. The continuous loop double cortical button technique has been utilized for coracoclavicular ligament stabilization for both acromioclavicular joint dislocation and distal clavicle fractures with excellent clinical outcomes. This procedure has been adapted for fixation of the distal tibiofibular syndesmosis. The technique utilizes 2 cortical buttons linked by a continuous loop of ultra-high molecular weight polyethylene suture for dynamic knotless syndesmotic fixation. The continuous loop double cortical button technique was performed on 4 consecutive cases of distal tibiofibular syndesmosis diastasis. Accurate, stable fixation was achieved in all cases without loosening or diastasis. At the final follow-up, no evidence of button-related osteolysis or migration was observed. One patient with prominent lateral hardware developed a wound infection requiring reoperation for hardware removal and debridement. Otherwise, no complications related to syndesmotic hardware were observed. The continuous loop double cortical button technique is a reproducible and reliable procedure for fixation of the distal tibiofibular syndesmosis. The construct allows for accurate restoration of the dynamic syndesmotic complex without compromising stability. Knot-related complications are minimized. As with all systems, limiting lateral hardware prominence appears to reduce the risk of wound-related complications. Level of Evidence: Diagnostic Level IV—case series. See Instructions for Authors for a complete description of levels of evidence." @default.
• W3008794239 created "2020-03-06" @default.
• W3008794239 creator A5054940914 @default.
• W3008794239 creator A5066317304 @default.
• W3008794239 date "2020-01-31" @default.
• W3008794239 modified "2023-09-23" @default.
• W3008794239 title "Continuous Loop Double Cortical Button Technique for Distal Tibiofibular Syndesmosis Stabilization: A Technical Note and Case Series" @default.
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• W3008794239 doi "https://doi.org/10.1097/btf.0000000000000264" @default.
• W3008794239 hasPublicationYear "2020" @default.
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