Copyright
©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Apr 18, 2017; 8(4): 301-309
Published online Apr 18, 2017. doi: 10.5312/wjo.v8.i4.301
Published online Apr 18, 2017. doi: 10.5312/wjo.v8.i4.301
Syndesmotic InternalBraceTM for anatomic distal tibiofibular ligament augmentation
Markus Regauer, SportOrtho Rosenheim, Praxis für Orthopädie und Unfallchirurgie, 83022 Rosenheim, Germany
Markus Regauer, Mirjam Lange, Christian Kammerlander, Wolfgang Böcker, Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Ludwig-Maximilians-Universität München, 81377 Munich, Germany
Gordon Mackay, Faculty of Health Sciences and Sport, University of Stirling, FK9 4LA Stirling, Scotland
Author contributions: Regauer M had the idea of syndesmotic Internal BraceTM, was the treating physician and was responsible for writing the paper and design of illustrations and figures; Mackay G had invented the general Internal BraceTM technique and revised the article critically for important intellectual content and correct English language as a native speaker; Lange M was responsible for acquisition of data and helped to design the illustrations and figures; Kammerlander C and Böcker W revised the article critically for important intellectual content and were responsible for the final approval of the version to be published.
Conflict-of-interest statement: Markus Regauer and Gordon Mackay are paid consultants of Arthrex (Naples, Florida, United States).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Markus Regauer, MD, Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Ludwig-Maximilians-Universität München, Standort Großhadern, Marchioninistraße 15, 81377 Munich, Germany. markus.regauer@med.uni-muenchen.de
Telephone: +49-89-440072427 Fax: +49-89-440075424
Received: September 28, 2016
Peer-review started: October 1, 2016
First decision: November 10, 2016
Revised: December 22, 2016
Accepted: February 8, 2017
Article in press: February 13, 2017
Published online: April 18, 2017
Peer-review started: October 1, 2016
First decision: November 10, 2016
Revised: December 22, 2016
Accepted: February 8, 2017
Article in press: February 13, 2017
Published online: April 18, 2017
Core Tip
Core tip: Reconstruction of unstable syndesmotic injuries is not trivial, and there are no generally accepted treatment guidelines. The TightRope® system is reported to have advantages compared to classical syndesmotic screws. However, rotational instability of the distal fibula is not safely eliminated by use of 1 or even 2 TightRopes®. Therefore, we developed a new syndesmotic InternalBraceTM technique using SwiveLocks® for knotless aperture fixation of a FiberTape® at the anatomic footprints of the injured ligaments for improved anatomic distal tibiofibular ligament augmentation to protect healing of the injured native ligaments.