Which ankle fractures require syndesmotic stabilization?
Syndesmotic ruptures associated with ankle fractures are most commonly caused by external rotation of the foot, eversion of the talus within the ankle mortise, and excessive dorsiflexion. The distal tibiofibular syndesmosis consists of the anterior inferior tibiofibular ligament, posterior inferior tibiofibular ligament, and interosseous ligament, and it is essential for stability of the ankle mortise. Despite the numerous biomechanical and clinical studies pertaining to ankle fractures, there are no uniform recommendations regarding the use of the syndesmotic screw for specific injury patterns and fracture types. The objective of this review was to formulate recommendations for clinical practice related to the use of syndesmotic screw placement.
van den Bekerom
Michel P J
MP
Gerle Hospitals, Apeldoorn, The Netherlands. Bekerom@gmail.com
Lamme
Bas
B
Hogervorst
Mike
M
Bolhuis
Hugo W
HW
D016512:Ankle Injuries / Q000601:surgery*; D000843:Ankle Joint / Q000601:surgery; D001863:Bone Screws; D005360:Fibula / Q000601:surgery; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery; D012421:Rupture; D013977:Tibia / Q000601:surgery