Hong Choon Chiet, Lee Wei Ting, Tan Ken Jin
University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore, Singapore.
University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore, Singapore.
J Foot Ankle Surg. 2015 Jan-Feb;54(1):130-4. doi: 10.1053/j.jfas.2014.09.041. Epub 2014 Oct 31.
Fixation of ankle syndesmosis injuries using the Ankle TightRope(®) has been gaining popularity. It has been shown to produce good results, facilitate early weightbearing, reduce the need for implant removal, and allow an earlier return to work and, possibly, a more anatomic syndesmotic reduction compared with screw fixation. However, its usage has been associated with complications such as soft tissue irritation, infection and wound breakdown, suture-button subsidence, and pathologic fracture from the screw tract. We describe a case of chronic osteomyelitis and suture-button migration associated with TightRope(®) fixation and a limited contact-dynamic compression plate for ankle syndesmosis disruption and lateral malleolus fracture.
