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Posterior inferior tibiofibular ligament repair shows improvement in immediate syndesmotic reduction

July 1, 2015

Treatment of supination external rotation type IV equivalent ankle fractures with posterior inferior tibiofibular ligament repair showed improvement in immediate postoperative syndesmotic reduction and eliminated the need for reoperation to remove transsyndesmotic screws, according to study results.

Researchers compared deltoid and posterior inferior tibiofibular ligament (PITFL) repair in addition to lateral malleolus fixation with transsyndesmotic screw fixation among 45 patients with supination external rotation type IV equivalent ankle fractures. Main outcome measures included syndesmotic reduction compared with contralateral extremity on a postoperative CT scan and maintenance of reduction based on final postoperative radiographs.

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