Anatomic reduction and fixation of unstable ankle fractures is necessary to prevent posttraumatic arthritis. Malunion of the distal fibula in unstable ankle fractures may lead to progressive talar instability. Ankle fracture malunions often present with concomitant syndesmotic widening, which can cause surgeons to overlook changes in fibula length and rotation. The decision to proceed with surg...

Post-operative complications are common in ankle fractures but only 5% of patients who undergo syndesmosis repair experience implant-related (IRC) such as breakage or device failure. Clinical conditions associated with IRC poorly documented. This study evaluated concurrent diagnoses IRC. Patients (0-64 years old) within IBM MarketScan® Commercial database in- outpatient diagnosis fracture treat...