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Updated: Feb 9, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
12.4K
[Syndesmosis injuries at the ankle]
1UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland. Stefan.Rammelt@uniklinikum-dresden.de.
Der Unfallchirurg
|May 31, 2018
Summary
Distal tibiofibular syndesmosis injuries require accurate diagnosis and treatment. Anatomic reduction of the distal fibula is crucial for successful outcomes in unstable injuries.
Area of Science:
- Orthopedics
- Sports Medicine
- Anatomy
Background:
- Distal tibiofibular syndesmosis injuries are common and present diagnostic and therapeutic challenges.
- A wide array of diagnostic techniques and treatment options exist, leading to clinical controversy.
Purpose of the Study:
- To consolidate current knowledge on syndesmotic instability.
- To provide clinical practice recommendations for acute and chronic syndesmosis injuries.
Main Methods:
- Comprehensive literature review on syndesmosis injury.
- Analysis of anatomy, etiology, diagnostics, and treatment strategies.
Main Results:
- Isolated ligamentous injuries (high ankle sprains) without diastasis are managed non-operatively.
- Significant instability with diastasis necessitates surgical stabilization.
- Anatomic reduction and fixation (screws or suture buttons) are key for syndesmotic disruptions, often associated with fractures.
Conclusions:
- Anatomic reduction of the distal fibula into the tibial incisura is the paramount prognostic factor for unstable distal tibiofibular syndesmosis injuries.
- Proper reduction minimizes complications like malreduction, hardware issues, and chronic instability.
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