Injuries to the tibiofibular syndesmosis
Open Access
- 1 April 2008
- journal article
- review article
- Published by British Editorial Society of Bone & Joint Surgery in The Journal of Bone and Joint Surgery. British volume
- Vol. 90 (4), 405-410
- https://doi.org/10.1302/0301-620x.90b4.19750
Abstract
The management of injury to the distal tibiofibular syndesmosis remains controversial in the treatment of ankle fractures. Operative fixation usually involves the insertion of a metallic diastasis screw. There are a variety of options for the position and characterisation of the screw, the type of cortical fixation, and whether the screw should be removed prior to weight-bearing. This paper reviews the relevant anatomy, the clinical and radiological diagnosis and the mechanism of trauma and alternative methods of treatment for injuries to the syndesmosis.Keywords
This publication has 69 references indexed in Scilit:
- Clinical diagnosis of syndesmotic ankle instabilityActa Orthopaedica, 2002
- Adult ankle fractures—an increasing problem?Acta Orthopaedica, 1998
- Polyglycolide Bioabsorbable Screws in the Treatment of Ankle FracturesFoot & Ankle International, 1997
- Metallic or absorbable implants for ankle fractures:A comparative study of infections in 3,111 casesActa Orthopaedica, 1996
- Operative Treatment of Syndesmotic Disruptions Without Use of a Syndesmotic Screw: A Prospective Clinical StudyFoot & Ankle International, 1994
- Self-Reinforced Absorbable Screws in the Fixation of Displaced Ankle FracturesJournal of Orthopaedic Trauma, 1992
- Syndesmosis Sprains of the AnkleFoot & Ankle, 1990
- A Radiographic Evaluation of the Tibiofibular SyndesmosisFoot & Ankle, 1989
- Effect of the Syndesmotic Screw on Ankle MotionFoot & Ankle, 1989
- Kinematics of the Ankle/Foot Complex—Part 3: Influence of Leg RotationFoot & Ankle, 1989