The purpose of this study was to examine the mechanical necessity of using a syndesmosis screw to supplement rigid internal fixation of the fibula and medial malleolus in the treatment of pronation-external rotation fractures. The legs of thirty embalmed and five fresh cadavera were dissected and mounted through the tibia to a frame so that multiple radiographs could be made with a constant rel...

A review of the literature has shown that problem treatment for fractures ankle joint with rupture tibiofibular syndesmosis is still far from being solved, as evidenced by frequency unsatisfactory results during surgeries — 4.8–36.8 %. In future, issue and need to develop a dynamic fixation device, which able duplicate function lost due damage syndesmosis, remain relevant.

BACKGROUND Subcircumferential periosteal edema above the ankle joint is frequently present on magnetic resonance imaging (MRI) with syndesmosis injuries but has not been previously reported. Fluid height within the interosseous membrane also has not previously been shown to be associated with syndesmosis injury severity. PURPOSE To investigate whether a new sign on MRI and measurement of the ...

BACKGROUND Syndesmotic injury may be difficult to diagnose, and radiological evaluation is very important. The purpose of this study was to offer a series of reliable and repeatable normal tibiofibular syndesmosis parameters in diagnosing injuries of the syndesmosis. METHODS Multi-detector computed tomography (MDCT) and radiographs of the distal tibiofibular syndesmosis in 484 cases were retr...

The lateral transmalleolar approach (LTA), a surgical for posterior malleolar fractures (PMFs), provides direct visualization of the articular surface malleolus, though temporarily disrupting syndesmosis. It is still unclear whether this fibrous joint can be effectively reconstructed afterward to prevent complications. We report clinical results and computed tomography (CT) findings syndesmosis...

Syndesmosis injuries -also known as high ankle sprainshave an increasing popularity because of an increased awareness of diagnosis. Different from lateral ankle sprains, mechanism of injury mostly involves external rotation, eversion and excessive dorsiflexion. Other mechanisms can also cause sydesmosis injuries. Because of high levels of missed injuries the real prevalence of syndesmosis injur...

BACKGROUND/AIM The distal tibiofibular joint is described as a syndesmosis. Traditionally, severe syndesmotic injuries with diastasis have been treated surgically with screw fixation. This case series details an ankle syndesmosis tightrope repair and an accelerated rehabilitation protocol that reduces the amount of time to return to professional rugby league in the UK. The aim of this study was...

Syndesmotic disruption occurs in more than 10% of ankle fractures. Operative treatment with syndesmosis screw fixation has been successfully performed for decades and is considered the gold standard of treatment. Few studies have reported the long-term outcomes of syndesmosis injuries. This study investigated long-term patient-reported, radiographic, and functional outcomes of syndesmosis injur...

When one is surgically managing an unstable ankle fracture, anatomic reduction of the syndesmosis is typically accomplished using an open surgical approach. We propose an arthroscopically assisted technique that restores normal anatomy while using a percutaneously placed intramedullary nail to fix the fibula. The patient is positioned supine, and the ankle is placed under traction by use of a t...