Case Reports and Series| Volume 51, ISSUE 6, P787-789, November 2012

Isolated Chronic Anteroinferior Tibiofibular Ligament Rupture Repair


      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


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        • Oae K.
        • Takao M.
        • Naito K.
        • Uchio Y.
        • Kono T.
        • Ishida J.
        • Ochi M.
        Injury of the tibiofibular syndesmosis: value of MR imaging for diagnosis.
        Radiology. 2003; 227: 155-161
        • van den Bekerom M.P.J.
        • de Leeuw P.A.J.
        • van Dijk C.N.
        Delayed operative treatment of syndesmotic instability. Current concepts review.
        Injury. 2009; 40: 1137-1142
        • Clandton T.O.
        • Porter D.A.
        Primary care of foot and ankle injuires in the athlete.
        Clin Sports Med 16(3). 1997; : 435-466
        • Ogilvie-Harris D.
        • Reed S.
        • Hedman T.
        Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints.
        Arthroscopy. 1994; 10: 558-560
        • Vogl T.J.
        • Hochmuth K.
        • Diebold T.
        • Lubrich J.
        • Hofmann R.
        • Stöckle U.
        • Söllner O.
        • Bisson S.
        • Südkamp N.
        • Maeurer J.
        • Haas N.
        • Felix R.
        Magnetic resonance imaging in the diagnosis of acute injured distal tibiofibular syndesmosis.
        Invest Radiol. 1997; 32: 401-409
        • Nelson O.A.
        Examination and repair of the AITFL in transmalleolar fractures.
        J Orthop Trauma. 2006; 20: 637-643
        • Bassett F.H.
        • Gates H.S.
        • Billys J.B.
        • Morris H.B.
        • Nikolaou P.K.
        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
        • Hoiness P.
        • Stromsoe K.
        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