Syndesmotic Fixation Controversies John G. Anderson, M.D. - - PowerPoint PPT Presentation

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Syndesmotic Fixation Controversies John G. Anderson, M.D. - - PowerPoint PPT Presentation

Oct 02, 2023 384 likes •785 views

FOOT & ANKLE SYMPOSIUM & SURGICAL TECHNIQUES July 24, 2020 to July 26, 2020 Syndesmotic Fixation Controversies John G. Anderson, M.D. Orthopaedic Associates of Grand Rapids Clinical Professor Michigan State University College of

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Syndesmotic Fixation Controversies

John G. Anderson, M.D. Orthopaedic Associates of Grand Rapids Clinical Professor Michigan State University College of Human Medicine and College of Osteopathic Medicine Co-director GR Orthopaedic Foot and Ankle Fellowship

FOOT & ANKLE SYMPOSIUM & SURGICAL TECHNIQUES July 24, 2020 to July 26, 2020

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Disclosure

I am a consultant for the following organizations: – Stryker – Wright Medical Group – Zimmer Biomet – Nextremity Solutions, Inc. – Paragon 28

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Why did this fail?

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Any experience with Zwipp syndesmotic ligament reconstruction?

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Painful synostosis

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Proximal tib fib dislocation

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Does distal joint need stabilizing?

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Dilemma: the high shaft fracture

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Revision ORIF with fibular osteotomy

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Revision ORIF with syndesmotic fusion

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Dilemma: The high fibula fracture

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Can syndesmosis can be overtightened?

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Take home message

  • Fibular length and rotation are key
  • Posterior malleolus reduction is key
  • Need to address length, rotation, medial/lateral stability,

rotational stability

  • Many syndesmotic fixation options are available and all

seem to work as long as these principles are respected