Complex ankle fracture dislocations with syndesmotic diastasis

Stiehl, James B.

Affiliations

¹Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee

Abstract and keywords

Ankle fracture dislocations with fibular "diastasis" require anatomic reduction and usually internal fixation for acceptable clinical results. This review discusses anatomic, radiologic, and clinical aspects in the treatment of these injuries. Clinical examples are given.

Keywords:

Links

PubMed: 2195442

Cited By (12)

Year	Entry
1992	Amendola A. Controversies in diagnosis and management of syndesmosis injuries of the ankle. Foot Ankle. January 1992;13(1):44-50.
1994	Yamaguchi K, Martin CH, Boden SD, Labropoulos PA. Operative treatment of syndesmotic disruptions without use of a syndesmotic screw: a prospective clinical study. Foot Ankle Int. August 1994;15(8):407-414.
1995	Ostrum RF, De Meo P, Subramanian R. A critical analysis of the anterior-posterior radiographic anatomy of the ankle syndesmosis. Foot Ankle Int. March 1995;16(3):128-131.
1997	Ebraheim NA, Lu J, Yang H, Mekhail AO, Yeasting RA. Radiographic and CT evaluation of tibiofibular syndesmotic diastasis: a cadaver study. Foot Ankle Int. November 1997;18(11):693-698.
2000	Thompson MC, Gesink DS. Biomechanical comparison of syndesmosis fixation with 3.5- and 4.5-millimeter stainless steel screws. Foot Ankle Int. September 2000;21(9):736-741.
2005	Marqueen T, Owen J, Nicandri G, Wayne J, Carr J. Comparison of the syndesmotic staple to the transsyndesmotic screw: a biomechanical study. Foot Ankle Int. March 2005;26(3):224-230.
2006	Moore JA Jr, Shank JR, Morgan SJ, Smith WR. Syndesmosis fixation: a comparison of three and four cortices of screw fixation without hardware removal. Foot Ankle Int. August 2006;27(8):567-572.
1997	Wuest TK. Injuries to the distal lower extremity syndesmosis. J Am Acad Orthop Surg. May–June 1997;5(3):172-181.
2001	Norkus SA, Floyd RT. The anatomy and mechanisms of syndesmotic ankle sprains. J Athl Train. January–March 2001;36(1):68-73.
1995	Chissell HR, Jones J. The influence of a diastasis screw on the outcome of Weber type-C ankle fractures. J Bone Joint Surg. May 1995;77B(3):435-438.
2002	Rose JD, Flanigan KP, Mlodzienski A. Tibiofibular diastasis without ankle fracture: a review and report of two cases. J Foot Ankle Surg. 2002;41(1):44-51.
2010	Miller AN, Paul O, Boraiah S, Parker RJ, Helfet DL, Lorich DG. Functional outcomes after syndesmotic screw fixation and removal. J Orthop Trauma. January 2010;24(1):12-16.