Open Reduction Internal Fixation of a Bimalleolar Ankle Fracture With Syndesmotic Injury.

Abstract:

:Rotational ankle fractures are incredibly common, resulting in a wide spectrum of bony and ligamentous injury patterns. After open reduction of an ankle fracture, the treating surgeon must always evaluate syndesmotic stability. If the syndesmosis is determined to be unstable, a reduction of the distal tibiofibular joint should be performed. Failure to adequately identify and treat injuries to the syndesmosis may result in continued ankle instability and poor patient outcomes. Lateral fluoroscopic images are necessary to assess a closed reduction of the syndesmosis before stabilization, although the accuracy of this tool has been questioned in several studies. Significant controversy surrounds many aspects of this injury and its treatment, including methods of diagnosis, ideal reduction clamp positioning, diameter and number of syndesmotic screws, and number of tibial cortices to be engaged. In the accompanying video, we describe our approach for the treatment of a bimalleolar ankle fracture with syndesmotic injury, using a posterior fibular plate and single tricortical syndesmotic screw.

journal_name

J Orthop Trauma

authors

Ostrum RF,Avery MC

doi

10.1097/BOT.0000000000000588

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

S43-4

eissn

0890-5339

issn

1531-2291

pii

00005131-201608001-00021

journal_volume

30 Suppl 2

pub_type

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