FIBULINK – for Syndesmotic Injuries
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The screw with a link:
…. (Sir David Attenborough’s narration) …. We know some implants may break; some may need to be removed while some work after a partial collapse.
We have not entirely conquered this territory or are slow in our advances. Quite often, we make a breakthrough to better at least one of these difficulties and one such winner is ‘FIBULINK’.
It’s a revolutionary idea with a screw and suture construct which gives the operating surgeon, the option of adjustable tension in the system. The short, high-strength suture bridge gives you flexibility while the screw gives you the fixation.
Studies show three times fixation strength with only one-third of the displacement compared to the Arthrex syndesmosis tightrope. A case series of fourteen patients with a mean follow-up of 9.5 months showed a mean AOFAS score of 94, the VAS score at final follow-up was 1.1. There were no instances of loss of reduction, hardware removal, repeat surgeries, wound issues, or other complications.
Like I told you (in Attenborough’s voice earlier), this is a breakthrough, and the fixation no longer relies on a three-cortex screw that needs to be removed or can be expected to break. Of course, there is Tightrope style fixation, but this looks to have an upper hand.
