title: Operative aspects of the syndesmotic screw: review of current concepts.
abstract: The distal tibiofibular syndesmosis is important for stability of the ankle mortise and thus for weight transmission and walking. Syndesmotic injuries are most commonly associated with fibular fractures, but they can also occur in isolation or with damage to the lateral ankle ligament after traumatic supination. The need for trans-syndesmotic fixation of the distal tibiofibular joint has been controversial. The goal of this review was to collect evidence on the technical aspects of performing an osteosynthesis using a syndesmotic screw and to formulate some recommendations for clinical practice.
authors.affiliation: Academic Medical Centre, Amsterdam, The Netherlands. Bekerom@gmail.com
authors.forename: Michel P J
authors.initials: MP
authors.lastname: van den Bekerom
authors.forename: Mike
authors.initials: M
authors.lastname: Hogervorst
authors.forename: Hugo W
authors.initials: HW
authors.lastname: Bolhuis
authors.forename: C Niek
authors.initials: CN
authors.lastname: van Dijk
mesh_terms: D016512:Ankle Injuries / Q000601:surgery*; D000843:Ankle Joint / Q000033:anatomy & histology / Q000601:surgery*; D001696:Biomechanical Phenomena; D001863:Bone Screws / Q000592:standards; D002102:Cadaver; D002986:Clinical Trials as Topic; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D007103:Immobilization / Q000379:methods; D007593:Joint Instability / Q000601:surgery; D017844:Lateral Ligament, Ankle / Q000033:anatomy & histology / Q000601:surgery*; D016059:Range of Motion, Articular