Arthroscopic-Assisted Adjustable Progressive Compression Fixation for Distal Tibiofibular Syndesmosis Injury.
- 1Department of Orthopaedic Surgery Ningbo No. 2 Hospital Ningbo Zhejiang China.
- 2Department of Orthopaedic Surgery Xiangshan Hospital of Traditional Chinese Medicine Ningbo Zhejiang China.
Abstract
The distal tibiofibular syndesmosis injuries are a common type of ankle injury. Traditional rigid screw fixation presents issues such as restricting physiological micromotion and requiring a second surgery for removal. The existing elastic fixation techniques have limitations, including insufficient fixation strength and nonadjustable tension. This technical note describes an arthroscopic-assisted adjustable progressive compression fixation technique. By rotating the fibular-side EndoButton, the 4-strand high-tensile sutures synchronously twist and shorten, achieving continuous and controllable transverse compression of the distal tibiofibular syndesmosis. This technique combines the strength of rigid fixation with the physiological compliance of elastic fixation. Intraoperatively, tension can be adjusted in real-time based on tactile feedback, direct arthroscopic visualization, and fluoroscopic imaging, achieving an optimal balance between stability and micromotion. This technique provides a reliable fixation option for distal tibiofibular syndesmosis injuries.
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BibTeX
@article{li2026arthroscopicassisted,
title = {{Arthroscopic-Assisted Adjustable Progressive Compression Fixation for Distal Tibiofibular Syndesmosis Injury.}},
author = {Kehan Li and Yang Chen and Qiang Guo and Bo Zhang and Haijun Zhang and Qiaojie Chen},
journal = {Arthroscopy techniques},
year = {2026},
month = oct,
doi = {10.1002/atn2.70336},
url = {https://europepmc.org/article/MED/42947981},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Arthroscopic-Assisted Adjustable Progressive Compression Fixation for Distal Tibiofibular Syndesmosis Injury.
AU - Kehan Li
AU - Yang Chen
AU - Qiang Guo
AU - Bo Zhang
AU - Haijun Zhang
AU - Qiaojie Chen
PY - 2026
DA - 2026/10/26
JO - Arthroscopy techniques
DO - 10.1002/atn2.70336
UR - https://europepmc.org/article/MED/42947981
AB - The distal tibiofibular syndesmosis injuries are a common type of ankle injury. Traditional rigid screw fixation presents issues such as restricting physiological micromotion and requiring a second surgery for removal. The existing elastic fixation techniques have limitations, including insufficient fixation strength and nonadjustable tension. This technical note describes an arthroscopic-assisted adjustable progressive compression fixation technique. By rotating the fibular-side EndoButton, the 4-strand high-tensile sutures synchronously twist and shorten, achieving continuous and controllable transverse compression of the distal tibiofibular syndesmosis. This technique combines the strength of rigid fixation with the physiological compliance of elastic fixation. Intraoperatively, tension can be adjusted in real-time based on tactile feedback, direct arthroscopic visualization, and fluoroscopic imaging, achieving an optimal balance between stability and micromotion. This technique provides a reliable fixation option for distal tibiofibular syndesmosis injuries.
SN - 2212-6287
ER -