title: Technique Tip: Novel Use of a Targeting Drill Guide for Syndesmotic Screw Placement.
abstract: Ankle fractures are among the most common traumatic injuries encountered by orthopaedic surgeons, but obtaining anatomic syndesmosis fixation can be difficult. Previous authors have described the centroidal axis of the syndesmosis. Our group has developed a novel technique of aligning the tibia and fibula along their anatomic centroidal axis using a targeting guide, which has showed good results in 1 patient at 1-year follow-up.
  
  
  METHODS
  Level V: Expert opinion.
authors: Department of Orthopaedic Surgery, Durham, North Carolina daniel.scott@dm.duke.edu.
authors: Daniel
authors: D
authors: Scott
authors: Department of Orthopaedic Surgery, Durham, North Carolina.
authors: Glenn Guangyu
authors: GG
authors: Shi
authors: Department of Orthopaedic Surgery, Durham, North Carolina.
authors: Samuel
authors: S
authors: Adams
mesh_terms: D064386:Ankle Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D013525:Surgical Instruments
keywords: ankle; diagnostic and therapeutic techniques; foot surgery techniques; general disorders; heel; rearfoot; trauma; unstable ankle