Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 495-500 , September 2010

Tri-ligamentous Reconstruction of the Distal Tibiofibular Syndesmosis: A Minimally Invasive Approach

  • Tun Hing Lui, MBBS (HK), FRCS (Edin), FHKAM, FHKCOS

      Affiliations

    • Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China
    • Corresponding Author InformationAddress correspondence to: Tun Hing Lui, MBBS (HK), FRCS (Edin), FHKAM, FHKCOS, Consultant, Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong SAR, China.

References 

  1. Bartoníček J. Anatomy of the tibiofibular syndesmosis and its clinical relevance. Surg Radiol Anat. 2003;25:379–386
  2. Smith KM, Kovacich-Smith KJ, Witt M. Evaluation and management of high ankle sprains. Clin Podiatr Med Surg. 2001;18:443–456
  3. Sora MC, Strobl B, Staykov D, Forster-StreZeur S. Evaluation of the ankle syndesmosis: a plastination slices technique. Clin Anat. 2004;17:513–517
  4. Zwipp H, Rammelt S, Grass R. Ligamentous injuries about the ankle and subtalar joints. Clin Podiatr Med Surg. 2002;19:195–229
  5. Thordarson DB, Motamed S, Hedman T, Ebramzadeh E, Bakshian S. The effect of fibular malreduction on contact pressure in an ankle fracture malunion model. J Bone Joint Surg. 1997;79A:1809–1815
  6. Harper MC. Delayed reduction and stabilization of the tibiofibular syndesmosis. Foot Ankle Int. 2001;22:15–18
  7. Ogilvie-Harris DJ, Reed SC. Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery. Arthroscopy. 1994;10:561–568
  8. Beumer A, Heijboer RP, Fontijne WPJ, Swierstra BA. Late reconstruction of the anterior distal tibiofibular syndesmosis. Good outcomes in 9 patients. Acta Orthop Scand. 2000;71:519–521
  9. Morris MW, Rice P, Schneider TE. Distal tibiofibular syndesmosis reconstruction using a free hamstring autograft. Foot Ankle Int. 2009;30:506–511
  10. Zamzami MM, Zamzam MM. Chronic isolated distal tibiofibular syndesmotic disruption: diagnosis and management. Foot Ankle Surg. 2009;15(1):14–19
  11. Grass R, Rammelt S, Biewener A, Zwipp H. Peroneus longus ligamentoplasty for chronic instability of the distal tibiofibular syndesmosis. Foot Ankle Int. 2003;24:392–397
  12. Hoefnageis EM, Waites MD, Wing ID. Biomechanical comparison of the interosseous tibiofibular ligament and the anterior tibiofibular ligament. Foot Ankle Int. 2007;28:602–604
  13. Beumer A, van Hemert WL. Radiographic measurement of distal tibiofibular syndesmosis has limited use. Clin Orthop Relat Res. 2004;423:227–234
  14. Chan KB, Lui TH. Isolated anterior syndesmosis diastasis without fracture. Arch Orthop Trauma Surg. 2007;127:321–324
  15. Lui TH, Ip KY, Chow HT. Comparison of radiological diagnosis and arthroscopic diagnosis of distal tibiofibular syndesmosis disruption in acute ankle fracture. Arthroscopy. 2005;21:1370–1374
  16. Nielson JH, Gardner MJ, Peterson MGE, Sallis JG, Potter HG, Helfet DL, et al. Radiographic measurements do not predict syndesmotic injury in ankle fractures. An MRI study. Clin Orthop Relat Res. 2005;436:216–221

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(10)00232-2

doi: 10.1053/j.jfas.2010.06.002

Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 495-500 , September 2010

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