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Technical complications of the tibiofibular syndesmotic screw
R Mosheiff1, M Liebergall, J Y Margulies
1Department of Orthopaedic Surgery, Hadassah University Hospital, Jerusalem, Israel.
Abstract:
Three patients with ankle fractures are presented to demonstrate poor results due to improper application of a syndesmotic screw. In these cases failure of surgical treatment caused accelerated disruption of the ankle mortise with cartilage wear, or instability and joint distraction. Simple internal fixation with a single screw requires strict awareness of the potential harm that can be inflicted on the joint. The syndesmotic screw has to be inserted with a proper understanding of the biomechanics of ankle joint structures.