Tri-ligamentous reconstruction of the distal tibiofibular syndesmosis: a minimally invasive approach

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Tun Hing Lui

Abstract

The distal tibiofibular syndesmosis provides stability to the ankle mortise, and it is composed of the anterior inferior tibiofibular, posterior inferior tibiofibular, interosseous, and inferior transverse tibiofibular ligaments and the interosseous membrane. Subacute or chronic syndesmosis injuries can present after missed diagnosis in the acute period or after failed or inadequate nonoperative management. It can result in chronic ankle pain and progressive degeneration of the ankle. Reconstructive options for chronic syndesmosis disruption include arthroscopic debridement and screw fixation, arthrodesis of the syndesmosis, advancement of the anterior tibiofibular ligament, reconstruction of the interosseous and anterior inferior tibiofibular ligament, or tri-ligamentous reconstruction of the syndesmosis. We describe a minimally invasive technique of nearly anatomical reconstruction of the 3 syndesmotic ligaments. The syndesmosis is debrided and reduced under arthroscopic guidance and anatomical reduction of the syndesmosis can be achieved. Although we describe this technique for surgeons to consider, we recognize that a thorough clinical review of the method, complete with objective and subjective clinical outcome measurement...Continue Reading

References

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Citations

Nov 8, 2011·Archives of Orthopaedic and Trauma Surgery·E Carlos Rodriguez-Merchan
Sep 6, 2014·British Medical Bulletin·Ahmed MaganVikas Khanduja
Jun 19, 2013·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Ryan B Rigby, James M Cottom
Sep 28, 2015·Clinics in Sports Medicine·Paul J SwitajAnish R Kadakia
Aug 22, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Brady T WilliamsThomas O Clanton
May 23, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Tun Hing Lui
Jul 28, 2016·Arthroscopy Techniques·Tun Hing Lui
Nov 2, 2014·The American Journal of Sports Medicine·Brady T WilliamsThomas O Clanton
Sep 28, 2016·Foot & Ankle International·Thomas O ClantonRobert F LaPrade
Apr 10, 2016·Foot & Ankle International·Michael LilyquistBrock Wentz
Mar 23, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jian CheMing Han Lincoln Liow

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