Phinit Phisitkul, MD Arthrex: Consultant Smith & Nephew: - PowerPoint PPT Presentation

Phinit Phisitkul, MD

Arthrex: Consultant Smith & Nephew: Consultant Mortise Medical: Stock First Ray: Stock

 52% rate of malreduction

 significant association between medial clamp position and sagittal plane syndesmosis malreduction (Anterior 1/3 best)

With one tine placed on the fibular ridge, placing the medial clamp tine in the anterior third of the tibia, or halfway between the anterior cortices of the tibia and fibula is the most accurate position for reduction in line with the TSA.

 50 patients  All with AITFL injury  1 failure  3 screw removal

Lack W, Phisitkul P, Femino JE. Anatomic deltoid ligament repair with anchor-to-post suture reinforcement: technique tip. Iowa Orthop J. 2012;32:227-30. PubMed PMID: 23576946; PubMed Central PMCID: PMC3565408.

 Arthroscopy if suspicious  Direct visualization of the syndesmosis  Deltoid repair if there is a complete disruption of deep deltoid  Trans-syndesmotic axis clamping  Flexible anatomic fixation except a Maisonneuve Fx  Consider AITFL repair for most low-energy injuries

THANK YOU