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May Fong Mak Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland; Department of Orthopaedics, Waikato Hospital, New Zealand

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Richard Stern Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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Mathieu Assal Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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specifically pertaining to the management of distal syndesmosis injuries in rotationally unstable ankle fractures continues to evolve. This is due to the realization that the rate of syndesmosis malreduction has been unacceptably high in the past. The

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Jorge de-las-Heras Romero Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Avda Intendente Jorge Palacios 1, Murcia 30003, Spain

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Ana María Lledó Alvarez Regional Statistical Center, Treasury and public administration council, Murcia, Spain

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Fernando Moreno Sanchez Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Alejandro Perez Garcia Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Pedro Antonio Garcia Porcel Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Raul Valverde Sarabia Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Marina Hernandez Torralba Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Traumatol Arthrosc 2016 ; 24 : 1200 - 1216 . 3 Porter DA Jaggers RR Barnes AF Rund AM . Optimal management of ankle syndesmosis injuries . Open Access J Sports Med 2014 ; 5 : 173 - 182 . 4 Quenu E

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Nuno Corte-Real Department of Orthopaedics, Hospital de Cascais Dr. José de Almeida, Portugal

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João Caetano Department of Orthopaedics, Hospital de Cascais Dr. José de Almeida, Portugal

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. Syndesmosis instability Isolated syndesmosis injuries, commonly referred to as high ankle sprains, are relatively uncommon. 31 They are usually associated with other lesions of the lateral ankle ligaments and are present in up to 20% of all ankle

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Fabian Tobias Spindler Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Wolfgang Böcker Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Hans Polzer Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Sebastian Felix Baumbach Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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of radiologic methods for ankle syndesmosis injury: a systematic review and meta-analysis . Journal of Clinical Medicine 2019 8 . ( https://doi.org/10.3390/jcm8070968 ) 11 Burns WC 2nd Prakash K Adelaar R Beaudoin A & Krause W

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Vasileios Lampridis Frimley Park Hospital, UK

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Nikolaos Gougoulias Frimley Park Hospital, UK

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Anthony Sakellariou Frimley Park Hospital, UK

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Chen P Wang J . A systematic review of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury . BMC Musculoskelet Disord 2017 ; 18 : 286 – 298 . 44. Solan MC Davies MS

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Omar A. Al-Mohrej King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia

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Nader S. Al-Kenani King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia

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. 28. Dijk CNv . On diagnostic strategies in patients with severe ankle sprain . The Netherlands : University of Amsterdam , 1994 . 29. Clanton TO Paul P . Syndesmosis injuries in athletes . Foot Ankle Clin

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Stefan Rammelt University Center of Orthopaedics & Traumatology, University Hospital Carl Gustav Carus, Dresden, Germany

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Likewise, with any medial malleolar fracture, a ligamentous syndesmosis injury and a high fibular fracture (Maisonneuve type) have to be ruled out. Manual stress testing, gravity stress testing and weight-bearing radiographs have all been suggested to

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Bart A Swierstra Medical Guidelines, Amsterdam, The Netherlands

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W Annefloor van Enst Medical Guidelines, Amsterdam, The Netherlands

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://doi.org/10.1186/s10195-020-00547-7 ) 43. Kortekangas T Flinkkila T Niinimaki J Lepojarvi S Ohtonen P Savola O & Pakarinen H . Effect of syndesmosis injury in ser IV (Weber B)-type ankle fractures on function and incidence of osteoarthritis

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Patrick Pflüger Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Karl-Friedrich Braun Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany
Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany

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Olivia Mair Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Chlodwig Kirchhoff Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Peter Biberthaler Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Moritz Crönlein Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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. Better outcome for suture button compared with single syndesmotic screw for syndesmosis injury: five-year results of a randomized controlled trial . J Bone Joint Surg [Br] 2020 ; 102-B : 212 – 219 . 142. Andersen MR Frihagen F

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Patrick Ziegler BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland

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Christian Bahrs Schön Klinik Neustadt, Neustadt in Holstein, Germany

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Christian Konrads Department of Orthopaedic Surgery, University of Tübingen, Tübingen, Germany

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Philipp Hemmann BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Marc-Daniel Ahrend BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
AO Research Institute Davos, Davos Switzerland

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. Randomized trial comparing suture button with single syndesmotic screw for syndesmosis injury . Journal of Bone and Joint Surgery. American Volume 2018 100 2 – 12 . ( https://doi.org/10.2106/JBJS.16.01011 ) 71. Andruszkow H Pfeifer R Horst K

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