Intraoperative contralateral view for assessing accurate syndesmosis reduction

Accurate reduction of ankle syndesmosis following injury is essential to minimize tibiofibular diastasis and optimize patient outcomes. Although several radiographic parameters have been described in the coronal plane to assist in reduction, tibiofibular diastasis following syndesmotic injury often occurs in the sagittal plane, with the fibula displacing posterior relative to the tibia. A technique using lateral fluoroscopic assessment of the uninjured contralateral ankle as a comparison and guide for accurate syndesmotic reduction is described.