Acute and Chronic Syndesmotic Injury: The Authors' Approach to Treatment

Michael Swords; Jean Brilhault; Andrew Sands

doi:10.1016/j.fcl.2018.07.007

Acute and Chronic Syndesmotic Injury: The Authors' Approach to Treatment

Foot Ankle Clin. 2018 Dec;23(4):625-637. doi: 10.1016/j.fcl.2018.07.007. Epub 2018 Sep 24.

Authors

Michael Swords¹, Jean Brilhault², Andrew Sands³

Affiliations

¹ Orthopedic Surgery, Sparrow Hospital, Michigan Orthopedic Center, 2815 South Pennsylvania Avenue, Suite 204, Lansing, MI 48910, USA. Electronic address: Foot.trauma@gmail.com.
² Service de Chirurgie Orthopédique, C.H.R.U. Tours, 1, Tours F-37000, France; Service de Chirurgie Orthopédique, C.H.R.U. Tours, Université François-Rabelais de Tours, 37044 Tours Cedex 9, France.
³ Foot and Ankle Surgery, Weill Cornell Medical College, Downtown Orthopedic Associates, AO Foot and Ankle Expert Group, 170 William Street, New York, NY 10038, USA.

PMID: 30414657
DOI: 10.1016/j.fcl.2018.07.007

Abstract

Ankle injuries are a common traumatic injury. Rupture to the syndesmosis may occur as a result of these injuries. Strategies for the treatment of both acute and chronic syndesmotic repair are reviewed in detail. Significance of Chaput, Wagstaffe, and posterior malleolus fractures on syndesmotic stability are reviewed. Treatment considerations for total ankle arthroplasty are discussed, and correction of coronal plane deformity as a result of late syndesmotic injury at the time of ankle arthroplasty is outlined.

Keywords: Ankle arthroplasty; Ankle fracture; Ankle reconstruction; Chaput; Fixation; Incisura; Syndesmosis; Wagstaffe.

Publication types

Review

MeSH terms

Ankle Fractures / diagnosis*
Ankle Fractures / surgery*
Ankle Injuries / diagnosis*
Ankle Injuries / surgery*
Arthroplasty*
Diagnosis, Differential
Fracture Fixation, Internal*
Humans