Injuries to the tibiofibular syndesmosis.
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.
Dattani
R
R
East Surrey Hospital, Canada Avenue, Redhill RH1 5RH, UK. rupendattani@hotmail.com
Patnaik
S
S
Kantak
A
A
Srikanth
B
B
Selvan
T P
TP
D000328:Adult; D000368:Aged; D016512:Ankle Injuries / Q000601:surgery*; D001696:Biomechanical Phenomena; D001863:Bone Screws; D005360:Fibula / Q000293:injuries*; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology; D013977:Tibia / Q000293:injuries*; D006113:United Kingdom; D016474:Weight-Bearing