Reconstruction of Chronic Injured Distal Tibiofibular Syndesmosis with Autogenous Tendon Graft: A Systematic Review
Background. Chronic injuries of the distal tibiofibular syndesmosis are common in patients who fail to receive adequate diagnosis and timely treatment. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon graft in these patients is effective, although relatively rarely rep...
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| description | Background. Chronic injuries of the distal tibiofibular syndesmosis are common in patients who fail to receive adequate diagnosis and timely treatment. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon graft in these patients is effective, although relatively rarely reported. Purpose. To investigate clinical outcomes of syndesmosis reconstruction with an autogenous tendon graft for chronic injuries of the distal tibiofibular syndesmosis by reviewing the current literature. Methods. An English literature search was conducted in the MEDLINE, CENTRAL, and Cochrane databases to identify published studies up to October 2017. Preset inclusion and exclusion criteria were applied to identify all eligible articles. Results. Five studies (all with level IV evidence) that included a total of 51 patients who underwent reconstruction with an autogenous tendon graft were identified. It was reported that the symptoms were relieved postoperatively, including obviously improved functional outcomes and restoration of motions and exercise capacity. The mean American Orthopedic Foot and Ankle Society scale score of 16 patients was 53 preoperatively and 89 postoperatively. The visual analogue scale score of 14 patients decreased from 82.4 preoperatively to 12.6 postoperatively. A total of 5 (9.8%) complication cases were reported. Conclusion. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon for chronic syndesmosis injury showed a good therapeutic effect in terms of both subjective symptoms and objective evaluation scores. The interosseous ligament could be an appropriate reconstruction target in the treatment of chronic syndesmosis injury. |
| doi_str_mv | 10.1155/2021/3182745 |
| format | Article |
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Chronic injuries of the distal tibiofibular syndesmosis are common in patients who fail to receive adequate diagnosis and timely treatment. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon graft in these patients is effective, although relatively rarely reported. Purpose. To investigate clinical outcomes of syndesmosis reconstruction with an autogenous tendon graft for chronic injuries of the distal tibiofibular syndesmosis by reviewing the current literature. Methods. An English literature search was conducted in the MEDLINE, CENTRAL, and Cochrane databases to identify published studies up to October 2017. Preset inclusion and exclusion criteria were applied to identify all eligible articles. Results. Five studies (all with level IV evidence) that included a total of 51 patients who underwent reconstruction with an autogenous tendon graft were identified. It was reported that the symptoms were relieved postoperatively, including obviously improved functional outcomes and restoration of motions and exercise capacity. The mean American Orthopedic Foot and Ankle Society scale score of 16 patients was 53 preoperatively and 89 postoperatively. The visual analogue scale score of 14 patients decreased from 82.4 preoperatively to 12.6 postoperatively. A total of 5 (9.8%) complication cases were reported. Conclusion. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon for chronic syndesmosis injury showed a good therapeutic effect in terms of both subjective symptoms and objective evaluation scores. The interosseous ligament could be an appropriate reconstruction target in the treatment of chronic syndesmosis injury.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2021/3182745</identifier><identifier>PMID: 33604371</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Adolescent ; Adult ; Aged ; Ankle ; Ankle Injuries - surgery ; Ankle Joint - surgery ; Autografts ; Autografts - transplantation ; Care and treatment ; Female ; Grafting ; Grafts ; Humans ; Injuries ; Joint and ligament injuries ; Joint diseases ; Male ; Methods ; Middle Aged ; Orthopedic Procedures ; Orthopedic surgery ; Orthopedics ; Pain ; Patients ; Reconstruction ; Reconstructive Surgical Procedures - adverse effects ; Reconstructive Surgical Procedures - methods ; Reconstructive Surgical Procedures - statistics & numerical data ; Review ; Surgical outcomes ; Systematic review ; Tendons ; Tendons - transplantation ; Transplantation ; Trauma ; Treatment Outcome ; Young Adult</subject><ispartof>BioMed research international, 2021, Vol.2021 (1), p.3182745-3182745</ispartof><rights>Copyright © 2021 Han-Lin Xu et al.</rights><rights>COPYRIGHT 2021 John Wiley & Sons, Inc.</rights><rights>Copyright © 2021 Han-Lin Xu et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Han-Lin Xu et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-55cb8a6f8e51a803fc363cddea70e9a8c9e8bde4337f0ddc877966b466bb2d3d3</citedby><cites>FETCH-LOGICAL-c504t-55cb8a6f8e51a803fc363cddea70e9a8c9e8bde4337f0ddc877966b466bb2d3d3</cites><orcidid>0000-0002-0767-1267</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7870304/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7870304/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33604371$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Jin, Fang-chun</contributor><contributor>Fang-chun Jin</contributor><creatorcontrib>Xu, Han-Lin</creatorcontrib><creatorcontrib>Song, Yu-Jie</creatorcontrib><creatorcontrib>Hua, Ying-Hui</creatorcontrib><title>Reconstruction of Chronic Injured Distal Tibiofibular Syndesmosis with Autogenous Tendon Graft: A Systematic Review</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background. Chronic injuries of the distal tibiofibular syndesmosis are common in patients who fail to receive adequate diagnosis and timely treatment. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon graft in these patients is effective, although relatively rarely reported. Purpose. To investigate clinical outcomes of syndesmosis reconstruction with an autogenous tendon graft for chronic injuries of the distal tibiofibular syndesmosis by reviewing the current literature. Methods. An English literature search was conducted in the MEDLINE, CENTRAL, and Cochrane databases to identify published studies up to October 2017. Preset inclusion and exclusion criteria were applied to identify all eligible articles. Results. Five studies (all with level IV evidence) that included a total of 51 patients who underwent reconstruction with an autogenous tendon graft were identified. It was reported that the symptoms were relieved postoperatively, including obviously improved functional outcomes and restoration of motions and exercise capacity. The mean American Orthopedic Foot and Ankle Society scale score of 16 patients was 53 preoperatively and 89 postoperatively. The visual analogue scale score of 14 patients decreased from 82.4 preoperatively to 12.6 postoperatively. A total of 5 (9.8%) complication cases were reported. Conclusion. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon for chronic syndesmosis injury showed a good therapeutic effect in terms of both subjective symptoms and objective evaluation scores. The interosseous ligament could be an appropriate reconstruction target in the treatment of chronic syndesmosis injury.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Ankle</subject><subject>Ankle Injuries - surgery</subject><subject>Ankle Joint - surgery</subject><subject>Autografts</subject><subject>Autografts - transplantation</subject><subject>Care and treatment</subject><subject>Female</subject><subject>Grafting</subject><subject>Grafts</subject><subject>Humans</subject><subject>Injuries</subject><subject>Joint and ligament injuries</subject><subject>Joint diseases</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Orthopedic Procedures</subject><subject>Orthopedic surgery</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Patients</subject><subject>Reconstruction</subject><subject>Reconstructive Surgical Procedures - adverse effects</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Reconstructive Surgical Procedures - statistics & numerical data</subject><subject>Review</subject><subject>Surgical outcomes</subject><subject>Systematic review</subject><subject>Tendons</subject><subject>Tendons - transplantation</subject><subject>Transplantation</subject><subject>Trauma</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkl2LEzEUhoMo7lL3zmsZ8EbQuslkJh9eCKXqurAgrPU6ZJIzbcpMsiaZLfvvTWmtHxcaCAnk4Tmckxeh5wS_JaRtL2tck0tKRM2b9hE6rylp5ow05PHpTukZukhpi8sShGHJnqIzShluKCfnKN2CCT7lOJnsgq9CXy03MXhnqmu_nSLY6oNLWQ_VynUu9K6bBh2rrw_eQhpDcqnaubypFlMOa_BhStUKvC2mq6j7_K5aFDZlGHUuylu4d7B7hp70ekhwcTxn6Nunj6vl5_nNl6vr5eJmblrc5Hnbmk5o1gtoiRaY9oYyaqwFzTFILYwE0VloKOU9ttYIziVjXVN2V1tq6Qy9P3jvpm4Ea8DnqAd1F92o44MK2qk_X7zbqHW4V1xwTMuAZujVURDD9wlSVqNLBoZBeyidqrqRRFLZcF7Ql3-h2zBFX9orlJDlsySjv6i1HkA534dS1-ylasEkkwXi_6EEbSnBTVuoNwfKxJBShP7UGMFqHw61D4c6hqPgL34fxgn-GYUCvD4AG-et3rl_634A06LBRQ</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Xu, Han-Lin</creator><creator>Song, Yu-Jie</creator><creator>Hua, Ying-Hui</creator><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0767-1267</orcidid></search><sort><creationdate>2021</creationdate><title>Reconstruction of Chronic Injured Distal Tibiofibular Syndesmosis with Autogenous Tendon Graft: A Systematic Review</title><author>Xu, Han-Lin ; Song, Yu-Jie ; Hua, Ying-Hui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-55cb8a6f8e51a803fc363cddea70e9a8c9e8bde4337f0ddc877966b466bb2d3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Ankle</topic><topic>Ankle Injuries - surgery</topic><topic>Ankle Joint - surgery</topic><topic>Autografts</topic><topic>Autografts - transplantation</topic><topic>Care and treatment</topic><topic>Female</topic><topic>Grafting</topic><topic>Grafts</topic><topic>Humans</topic><topic>Injuries</topic><topic>Joint and ligament injuries</topic><topic>Joint diseases</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Orthopedic Procedures</topic><topic>Orthopedic surgery</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Patients</topic><topic>Reconstruction</topic><topic>Reconstructive Surgical Procedures - adverse effects</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Reconstructive Surgical Procedures - statistics & numerical data</topic><topic>Review</topic><topic>Surgical outcomes</topic><topic>Systematic review</topic><topic>Tendons</topic><topic>Tendons - transplantation</topic><topic>Transplantation</topic><topic>Trauma</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Han-Lin</creatorcontrib><creatorcontrib>Song, Yu-Jie</creatorcontrib><creatorcontrib>Hua, Ying-Hui</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Han-Lin</au><au>Song, Yu-Jie</au><au>Hua, Ying-Hui</au><au>Jin, Fang-chun</au><au>Fang-chun Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of Chronic Injured Distal Tibiofibular Syndesmosis with Autogenous Tendon Graft: A Systematic Review</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2021</date><risdate>2021</risdate><volume>2021</volume><issue>1</issue><spage>3182745</spage><epage>3182745</epage><pages>3182745-3182745</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Background. Chronic injuries of the distal tibiofibular syndesmosis are common in patients who fail to receive adequate diagnosis and timely treatment. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon graft in these patients is effective, although relatively rarely reported. Purpose. To investigate clinical outcomes of syndesmosis reconstruction with an autogenous tendon graft for chronic injuries of the distal tibiofibular syndesmosis by reviewing the current literature. Methods. An English literature search was conducted in the MEDLINE, CENTRAL, and Cochrane databases to identify published studies up to October 2017. Preset inclusion and exclusion criteria were applied to identify all eligible articles. Results. Five studies (all with level IV evidence) that included a total of 51 patients who underwent reconstruction with an autogenous tendon graft were identified. It was reported that the symptoms were relieved postoperatively, including obviously improved functional outcomes and restoration of motions and exercise capacity. The mean American Orthopedic Foot and Ankle Society scale score of 16 patients was 53 preoperatively and 89 postoperatively. The visual analogue scale score of 14 patients decreased from 82.4 preoperatively to 12.6 postoperatively. A total of 5 (9.8%) complication cases were reported. Conclusion. Reconstruction of the distal tibiofibular syndesmosis with an autogenous tendon for chronic syndesmosis injury showed a good therapeutic effect in terms of both subjective symptoms and objective evaluation scores. The interosseous ligament could be an appropriate reconstruction target in the treatment of chronic syndesmosis injury.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>33604371</pmid><doi>10.1155/2021/3182745</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0767-1267</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Ankle Ankle Injuries - surgery Ankle Joint - surgery Autografts Autografts - transplantation Care and treatment Female Grafting Grafts Humans Injuries Joint and ligament injuries Joint diseases Male Methods Middle Aged Orthopedic Procedures Orthopedic surgery Orthopedics Pain Patients Reconstruction Reconstructive Surgical Procedures - adverse effects Reconstructive Surgical Procedures - methods Reconstructive Surgical Procedures - statistics & numerical data Review Surgical outcomes Systematic review Tendons Tendons - transplantation Transplantation Trauma Treatment Outcome Young Adult |
| title | Reconstruction of Chronic Injured Distal Tibiofibular Syndesmosis with Autogenous Tendon Graft: A Systematic Review |
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