title: Osteomyelitis after TightRope(®) fixation of the ankle syndesmosis: a case report and review of the literature.
abstract: 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.
authors.affiliation: University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore, Singapore. Electronic address: choonchiet@gmail.com.
authors.forename: Choon Chiet
authors.initials: CC
authors.lastname: Hong
authors.affiliation: University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore, Singapore.
authors.forename: Wei Ting
authors.initials: WT
authors.lastname: Lee
authors.affiliation: University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore, Singapore.
authors.forename: Ken Jin
authors.initials: KJ
authors.lastname: Tan
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003646:Debridement; D020878:Device Removal; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects*; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011859:Radiography
chemical_list: D000900:Anti-Bacterial Agents
keywords: fibula; infection; open reduction internal fixation; prominent knot; suture-button device; tibia