Diagnóstico y tratamiento quirúrgico de las fracturas sindesmoticas del tobillo más frecuentes en futbolistas

Abstract

Introduction: the tibiofibular syndesmosis maintains the stability of the ankle, the unique anatomical pattern and the functional relationship with the foot make it very susceptible to injuries, ankle and fibula fractures are generally associated, they are known as non-isolated and partially isolated they are involved in unstable injuries, requiring surgical treatment. Ankle fracture is the most common injury treated by orthopedic surgeons, it depends on careful recognition of the variety of bone injuries and damage to soft tissues and ligaments. Materials and Methods: an exhaustive bibliographic search was carried out where scientific databases were used: PubMed, COCHRANE and NIH, with which articles published with evidence-based medicine were compiled within the last 5 years, with information about the different treatments Surgical procedures for syndesmotic ankle fractures.Objective: To analyze the diagnosis and surgical treatment of tibiofibular syndesmotic injuries in ankle fractures, by means of a bibliographic review of scientific articles to deepen the knowledge of medical personnel. Conclusion: its treatment lies in a correct diagnosis with a history, adequate physical and imaging evaluation followed by its restoration which is based on reduction and fixation. Static screw fixation is a standard treatment, however, it is controversial because of the need to remove the screw, while dynamic fixation with a suture button and tightrope implant is a viable alternative with lower rates of reoperation and complications.