This paper is only available as a PDF. To read, Please Download here.
Abstract
Ankle fractures that involve a fracture of the fibula above the syndesmosis (AO type
C) associated with a medial lesion are always said to indicate rupture of the inferior
tibiofibular syndesmosis. This study shows that fresh cadaver ankles subjected to
a combination of abduction and direct lateral force over the shaft of the fibula consistently
produce displaced bimalleolar ankle fractures without disruption of the inferior tibiofibular
syndesmosis. The results of this study suggest that the presence of an AO type C ankle
fracture does not necessarily indicate diastasis of the inferior tibiofibular joint
and, therefore, internal fixation of the syndesmosis of the fracture may not be indicated.
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 InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Genetisk diagnose og reposition.in: 3rd end. Dissertation. Munksgaard, Copenhagen1942
- 3rd end. The Comprehensive Classification of Fractures of Long Bones. Springer-Verlag, Berlin1990
- Fractures of the fibula proximal to the distal tibiofibular syndesmosis.J Bone Joint Surg [Am]. 1978; 60A: 221
- Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures.J Bone Joint Surg [Am]. 1984; 66A: 490
- A reproducible approach to the internal fixation of adult ankle fractures, Rationale, technique and early results.Orthop Clin North Am. 1980; 11: 661
- 3rd end. Fractures in Adults. Vol. 2. Lippincott, Philadelphia1991: 2021
- Oppen behandlung av Frakturer och Ledskador.Almquist and Wiskell, Stockholm1962
- The effect of the syndesmotic screw on ankle motion.Foot and Ankle. 1989; 10: 17
- Stabilisation of ankle syndesmosis injuries with a syndesmotic screw.Foot and Ankle. 1989; 9: 290
- The stability of the tibio-fibular syndesmosis following rigid internal fixation for type C malleolar fractures, an experimental and clinical study.Injury. 1983; 14: 357
- Mechanical considerations for the syndesmosis screw. A cadaver study.J Bone Joint Surg [Br]. 1989; 71B: 1548
Article info
Publication history
Accepted:
January 21,
1997
Identification
Copyright
© 1997 Published by Elsevier Inc.
