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Case Reports
. 2022 Aug 1;36(Suppl 3):S31-S32.
doi: 10.1097/BOT.0000000000002386.

Open Reduction and Fixation of Lateral Malleolus and Syndesmosis for Ankle Re-Fracture

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Case Reports

Open Reduction and Fixation of Lateral Malleolus and Syndesmosis for Ankle Re-Fracture

Akshay Goel et al. J Orthop Trauma. .

Abstract

Rotational ankle fractures are often accompanied with a syndesmotic injury. Furthermore, malreduction of syndesmosis and fibular shortening are frequent errors observed in these cases and often lead to poor functional outcomes. We present a case of Weber C lateral malleolus fracture and distal tibiofibular syndesmotic injury in an active 23-year-old patient. Various techniques for syndesmotic reduction and restoration of fibular length are discussed and demonstrated.

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Conflict of interest statement

The authors report no conflict of interest.

References

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    1. Gardner MJ, Graves ML, Higgins TF, et al. Technical considerations in the treatment of syndesmotic injuries associated with ankle fractures. J Am Acad Orthop Surg. 2015;23:510–518.
    1. Bae KJ, Kang SB, Kim J, et al. Reduction and fixation of anterior inferior tibiofibular ligament avulsion fracture without syndesmotic screw fixation in rotational ankle fracture. J Int Med Res. 2020;48:300060519882550.
    1. Rammelt S, Bartoníček J, Kroker L, et al. Surgical fixation of quadrimalleolar fractures of the ankle. J Orthop Trauma. 2021;35:e216–e222.
    1. Ovaska MT, Mäkinen TJ, Madanat R, et al. A comprehensive analysis of patients with malreduced ankle fractures undergoing re-operation. Int Orthop. 2014;38:83–88.

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