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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 4, 405-410.
doi: 10.1302/0301-620X.90B4.19750  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Injuries to the tibiofibular syndesmosis

R. Dattani, BSc, MRCS, Orthopaedic Specialist Registrar1; S. Patnaik, MS, MRCS, Clinical Fellow (Orth)1; A. Kantak, MS, MRCS, Trust Registrar (Orth)1; B. Srikanth, FRCS, Trust Registrar (Orth)1; and T. P. Selvan, MSc(Orth), FRCSEd, FRCS(Orth), Consultant1

1 East Surrey Hospital, Canada Avenue, Redhill RH1 5RH, UK.

Correspondence should be sent to Mr R. Dattani; e-mail: rupendattani{at}hotmail.com

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.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General