Report summarizes autograft study findings from M.W.J. Morris and co-researchers
2009 JUL 21 - (NewsRx.com) -- According to a study from Sheffield, the United Kingdom, "Chronic instability of the distal tibiofibular syndesmosis and its treatment is infrequently described in the literature. We report our results for treating this condition with a reconstruction based on restoration of near normal anatomy with a hamstring autograft." "Eight patients, who had chronic distal tibiofibular syndesmosis instability diagnosed arthroscopically underwent reconstruction of the distal anterior tibiofibular ligament and the transverse interosseus ligament using a free semi-tendinosis hamstring autograft. A radiographic and clinical review of the patients was performed. The average followup was 39 (range, 9 to 86) months. The postoperative visual analogue pain score was 19 out of 100 compared to 73 out of 100 preoperatively. The postoperative mean AOFAS score was 85.4 (range, 49 to 100), the SF-36 score was 81 (range, 56 to 93) and the Maryland foot score was 89.3 (range, 63 to 100). Chronic instability of the distal tibiofibular syndesmosis is an infrequent problem but disabling when it occurs. Our results show an improved VAS score for pain, improved swelling and instability symptoms as well as SF-36, AOFAS and Maryland scores," wrote M.W.J. Morris and colleagues. The researchers concluded: "We would recommend this method to reconstruct the anterior tibiofibular ligament and the transverse interosseus ligament which has failed to respond to debridement alone." Morris and colleagues published their study in Foot & Ankle International (Distal Tibiofibular Syndesmosis Reconstruction Using a Free Hamstring Autograft. Foot & Ankle International, 2009;30(6):506-511). For more information, contact M.W.J. Morris, Melbourne Orthopedic Group, 3 Winchester Rd., Sheffield S10 4EE, S Yorkshire, UK. Publisher contact information for the journal Foot & Ankle International is: American Orthopaedic Foot & Ankle Society, Inc., 2517 Eastlake Avenue East, Ste. 200, Seattle, WA 98102, USA. Keywords: United Kingdom, Sheffield, Anatomy, Autograft, Surgery, Tendinopathy. This article was prepared by Life Science Weekly editors from staff and other reports. Copyright 2009, Life Science Weekly via NewsRx.com.
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