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fractured and repair of what is torn. A significant flaw in the conventional approach to treating the syndesmosis is evidenced by the high rate of iatrogenic syndesmosis malreduction. Studies have shown postoperative syndesmosis malreduction rates of 16
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that non-acute lesions do not resolve with conservative treatment alone and often require surgical treatment. 34 In subacute (six weeks to six months) injuries, the goal is repair or reconstruction of the syndesmosis and protection with screw
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to decide which lesions are to be repaired. Numerous instability assessment methods have been described, usually with accessory tools that measure the syndesmosis gap (e.g. 3.5 mm shaver canula or a metallic tools) ( Fig. 3 ). Passage of a 3 mm
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syndesmosis disruption in athletes . Foot and Ankle International 2021 42 1130 – 1137 . ( https://doi.org/10.1177/10711007211015188 ) 26 Latham AJ Goodwin PC Stirling B & Budgen A . Ankle syndesmosis repair and rehabilitation in professional
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland
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AO Research Institute Davos, Davos Switzerland
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Ghazaly SAE . Outcomes of suture button repair of the distal tibiofibular syndesmosis . Foot and Ankle International 2011 32 250 – 256 . ( https://doi.org/10.3113/FAI.2011.0250 ) 70. Andersen MR Frihagen F Hellund JC Madsen JE Figved W
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). 3 , 6 – 11 However, injury may not be confined to the lateral ligament complex and may extend to the subtalar, transverse, syndesmosis and/or medial side of the ankle. 7 Thus, involvement of the interosseous, cervical, bifurcate, tibiofibular
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supramalleolar osteotomy. However, tibia-only osteotomy without fibular osteotomy may be indicated when there is widening of syndesmosis or ankle mortise which requires narrowing of the width of the mortise with minimal lateral translation. The necessity
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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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ligamentous apparatus of the TC joint can be differentiated into the lateral (LCL), the medial (MCL) and the tibiofibular ligament complex. Among the ligamentous structures of the syndesmosis are the distal anterior tibiofibular ligament (ATIFL), the distal
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turn, recreate the FN and stabilize the posterior syndesmosis. Reduction of the fibula into the FN and the subsequent reduction and fixation of the fractured PM is preferably performed via the posterolateral approach ( Fig. 7 ). Figure 7
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by arthroscopic visualisation of the ankle during screw fixation of the syndesmosis. Six hours after surgery, the patient complained of lower extremity pain. Acute compartment syndrome was diagnosed and an emergent fasciotomy was performed. One year
