Soft Tissue Repair in Supination-External Rotation IV Ankle Fractures. Issue 3 (September 2017)

• Record Type: Journal Article
• Authors: Donders, Johanna C.E.; Gausden, Elizabeth B.; Levack, Ashley E.; Helfet, David L.; Lorich, Dean G.
• Is Part Of: Techniques in foot & ankle surgery. Volume 16:Issue 3(2017)
• Publication Date: 2017-09
• Subjects: ankle fracture -- supination-external rotation type IV -- posterior inferior tibiofibular ligament -- deltoid ligament -- syndesmosis; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- surgery -- Periodicals; 617.584
• DOI: 10.1097/BTF.0000000000000155
• Languages: English
• ISSNs: 1536-0644

Abstract

Abstract : Achieving optimal functional outcomes while preventing posttraumatic ankle arthritis in patients with unstable ankle fractures remains challenging for orthopedic surgeons. The rate of syndesmotic malreduction is alarmingly high after transsyndesmotic screw fixation. The senior author introduced an alternative to transsyndesmotic screw fixation with anatomic approach to bone and ligament repair. Here we review the development of this approach and present the technique of repairing soft tissue structures in unstable ankle fractures.