title: Treatment of a Neglected Syndesmotic Injury Using a Unique Method of Reduction.
abstract: Syndesmotic injuries are challenging in diagnosis and management as delays in treating the injury lead to poorer functional outcomes. In this case report, we discuss management of an untreated Maisonneuve fracture. To our knowledge, our technique of using a composite braided suture with internal buttons fixed from the talus to the medial malleolus to supplement our syndesmotic repair has not previously been described.
authors.affiliation: Department of Orthopaedics, Medical University of South Carolina, Charleston, SC.
authors.forename: Christopher E
authors.initials: CE
authors.lastname: Gross
authors.affiliation: Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL. Electronic address: Gholmes@rushortho.com.
authors.forename: George B
authors.initials: GB
authors.lastname: Holmes
mesh_terms: D016512:Ankle Injuries / Q000175:diagnosis / Q000601:surgery*; D057210:Delayed Diagnosis; D005360:Fibula / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery*; D008297:Male; D053441:Suture Anchors; D013537:Sutures; D013628:Talus / Q000601:surgery*; D055815:Young Adult
keywords: Maisonneuve fracture; Mini TightRope(®); button and suture; diastasis; fiberwire; metatarsus; syndesmotic