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Technical Considerations in the Treatment of Syndesmotic Injuries Associated With Ankle Fractures JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS Gardner, M. J., Graves, M. L., Higgins, T. F., Nork, S. E. 2015; 23 (8): 510-518

Abstract

Malleolar ankle fractures associated with syndesmotic injuries are common. Diagnosis of the syndesmotic injury can be difficult and often requires intraoperative fluoroscopic stress testing. Accurate reduction and stable fixation of the syndesmosis are critical to maximize patient outcomes. Recent literature has demonstrated that the unstable syndesmosis is particularly prone to iatrogenic malreduction. Multiple types of malreduction can occur, including translational, rotational, and overcompression. Knowledge of the technical details regarding intraoperative reduction methods and reduction assessment can minimize the risk of syndesmotic malreduction and improve patient outcomes.

View details for DOI 10.5435/JAAOS-D-14-00233

View details for Web of Science ID 000358417300007

View details for PubMedID 26209146