Anatomical reconstruction of the anterior inferior tibiofibular ligament for chronic disruption of the distal tibiofibular syndesmosis

Abstract

The procedure, which can achieve anatomical reconstruction of the AITFL easily, seems to be one possible treatment for chronic disruption of the distal tibiofibular syndesmosis after PER stage 4 injury including avulsion fracture of the posterior malleolus, which is most common in this type of injury.

Suture-Button Fixation and Mini-Open Anterior Inferior Tibiofibular Ligament Augmentation Using Suture Tape for Tibiofibular Syndesmosis Injuries

“…Because our method involves augmentation for ligament repair, its indications for chronic cases might be limited. Anatomic AITFL surgery using grafts for chronic cases requires further investigation (16). Nevertheless, combined suture-button fixation and ligament augmentation tape provides adequate strength and stability.…”

There is no best surgical treatment for chronic isolated syndesmotic instability: a systematic review

“…Subsequently, the same reviewers read 36 full text articles to assess eligibility for data extraction. Twenty-eight studies were excluded; 8 reviews,9 12–18 2 were excluded because they described less than three cases with isolated injury,6 19 4 surgical technique papers,20–23 7 were excluded because they described acute syndesmotic injuries24–30 and 7 were excluded because they described non-isolated syndesmotic injuries 7 31–35. Uncertainties and inconsistencies throughout the study selection were resolved by discussion.…”

Ankle fracture associated with a tillaux fracture in adults - A case report

“…The chosen treatment of bimalleolar fractures of the ankle remains a reduction with an open focal spot associated with an internal fixation. In spite of an initial anatomical reduction of the fracture, patients may have permanent pain, secondary to osteoarthritis or insufficient reduction of syndesmosis [13,14]. The avulsion osteosynthesis of Tillaux tubercle depends on the size of the detached bone fragment.…”