Needle arthroscopic-assisted repair of tibio-fibular syndesmosis acute injury:A case report  

作　　者：Blazej G Wojtowicz Marcin Domzalski Jedrzej Lesman 

机构地区：[1]Department of Orthopedy and Trauma,Medical University of Lodz,Lodz 90-549,Lodz,Poland

出　　处：《World Journal of Orthopedics》2024年第8期820-827,共8页世界骨科杂志（英文版）

摘　　要：BACKGROUND Acute injuries to the tibiofibular syndesmosis,often associated with high ankle sprains or malleolar fractures,require precise diagnosis and treatment to prevent long-term complications.This case report explores the use of needle arthroscopy as a minimally invasive technique for the repair of tibiofibular syndesmosis injuries.CASE SUMMARY We report on a 40-year-old male patient who presented with a trimalleolar fracture and ankle subluxation following a high ankle sprain.Due to significant swelling and poor soft tissue quality,initial management involved external stabilization.Subsequently,needle arthroscopy was employed to assess and treat the tibiofibular syndesmosis injury.The procedure,performed under spinal anesthesia and fluoroscopic control,included nanoscopic evaluation of the ankle joint and reduction of the syndesmosis using a suture button.Follow-up assessments showed significant improvement in pain levels,range of motion,and functional scores.At 26 weeks post-procedure,the patient achieved full range of motion and pain-free status.Needle arthroscopy offers a promising alternative for the management of acute tibiofibular syndesmosis injuries,combining diagnostic and therapeutic capabilities with minimal invasiveness.CONCLUSION This technique may enhance clinical outcomes and reduce recovery times,warranting further investigation and integration into clinical practice.

关 键 词：Needle arthroscopy Tibiofibular syndesmosis Acute injury Ankle fracture Minimally invasive surgery Case report 

分 类 号：R687.3[医药卫生—骨科学]