Repair of Syndesmosis Injury in Ankle Fractures: Current State of the Art

Overview

Journal EFORT Open Rev

Specialty Orthopedics

Date 2018 Apr 17

PMID 29657842

Citations 14

Authors

May Fong Mak

Richard Stern

Mathieu Assal

Affiliations

Soon will be listed here.

Abstract

Conventional treatment of syndesmosis injuries in rotationally unstable ankle fractures is associated with an unacceptably high rate of malreduction, and this has led to a paradigm shift in the approach to a newer concept of anatomical repair.In the anatomical approach, the principle is to 'directly fix what is broken and repair what is torn'. The approach is effective in reducing the rate of syndesmosis malreduction, increasing the biomechanical strength of syndesmosis fixation and avoiding the need for trans-syndesmotic fixation and its secondary removal.The objective of this review article is to compare the conventional treatment of these injuries (accepted usage, general consent, traditional, generally accepted) with a newer anatomical approach to be considered as a shift in thinking. Cite this article: EFORT Open Rev 2018;3:24-29. DOI: 10.1302/2058-5241.3.170017.

Citing Articles

The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies.

Pollizzi A, Monir J, Lagrew M, Reb C Cureus. 2023; 15(3):e36300.

PMID: 37073189 PMC: 10106111. DOI: 10.7759/cureus.36300.

Classifications of posterior malleolar fractures: a systematic literature review.

Terstegen J, Weel H, Frosch K, Rolvien T, Schlickewei C, Mueller E Arch Orthop Trauma Surg. 2022; 143(7):4181-4220.

PMID: 36469121 PMC: 10293398. DOI: 10.1007/s00402-022-04643-7.

Avoiding the Removal of Syndesmotic Screws after Distal Tibiofibular Diastasis Repair: A Benefit or a Drawback?.

Hosin S, Vermesan D, Prejbeanu R, Crisan D, Al-Qatawneh M, Pop D J Clin Med. 2022; 11(21).

PMID: 36362640 PMC: 9659076. DOI: 10.3390/jcm11216412.

Intraoperative Chertsey Test, is it a Reliable Alternative to Computed Tomography Scan for Diagnosing Syndesmotic Injuries of the Ankle?.

Sayyadi S, Omidian M, Pourmojarab A, Khodayi A, Baroutkoub M, Salimi S Adv Biomed Res. 2022; 11:20.

PMID: 35386542 PMC: 8977619. DOI: 10.4103/abr.abr_258_21.

Posterior to anterior malleolar extended lateral approach to the ankle (PAMELA): early results of a novel approach.

Kummer A, Crevoisier X Arch Orthop Trauma Surg. 2022; 143(2):879-886.

PMID: 35113239 PMC: 9925524. DOI: 10.1007/s00402-022-04360-1.

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