Abstract
Chronic anteroinferior tibiofibular ligament tears are rarely an isolated pathology.
Only a small amount of published, peer-reviewed literature exists describing the isolated
repair of the syndesmotic complex in patients who present with chronic ankle pain.
We present a technique to restore the anatomic stability of the ligament and syndesmotic
complex. The procedure can be easily performed using allogenic semitendinosus tendon
graft and stabilized with transyndesmotic screws. The graft can be secured with biotenodesis
screws or anchors of the surgeon's preference. The patient described in this report
had a successful outcome with no complications.
Level of Clinical Evidence
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of Foot and Ankle SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Injury of the tibiofibular syndesmosis: value of MR imaging for diagnosis.Radiology. 2003; 227: 155-161
- Delayed operative treatment of syndesmotic instability. Current concepts review.Injury. 2009; 40: 1137-1142
- Primary care of foot and ankle injuires in the athlete.Clin Sports Med 16(3). 1997; : 435-466
- Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints.Arthroscopy. 1994; 10: 558-560
- Magnetic resonance imaging in the diagnosis of acute injured distal tibiofibular syndesmosis.Invest Radiol. 1997; 32: 401-409
- Examination and repair of the AITFL in transmalleolar fractures.J Orthop Trauma. 2006; 20: 637-643
- Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain.J Bone Joint Surg Am. 1990; 72: 55-59
- Tricortical versus quadricortical syndesmosis fixation in ankle fractures: a prospective, randomized study comparing two methods of syndesmosis fixation.J Orthop Trauma. 2004; 18: 331-337
Article info
Publication history
Published online: July 30, 2012
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
