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The Use of a Hamstring Autograft to Reconstruct the Distal Tibiofibular Joint and Superficial Deltoid Ligament in Chronic Syndesmotic Injuries

Padman, Manoj FRCS; Davies, Howard FRCS; Monkhouse, Ray FRCS (Tr & Orth); Harris, Nicholas J. FRCS (Tr & Orth)

Techniques in Foot & Ankle Surgery: June 2008 - Volume 7 - Issue 2 - pp 96-99
doi: 10.1097/BTF.0b013e31817572a8
Techniques

Chronic syndesmotic injuries of the ankle are a difficult challenge to treat. Various surgical techniques for stabilization of the distal tibiofibular joint have been described. These include debridement of the joint, stabilization with screw, advancement of the ligament on a bony block, and creation of a synostosis. We describe a technique using hamstring autografts to anatomically reconstruct the distal tibiofibular joint and superficial deltoid ligament.

Department of Orthopaedics Leeds General Infirmary Leeds, United Kingdom

Address correspondence and reprint requests to Nicholas J. Harris, FRCS (Tr & Orth), Leeds General Infirmary, Great George St, Leeds LS1 3EX, United Kingdom. E-mail: nickjohnharris@btinternet.com.

© 2008 Lippincott Williams & Wilkins, Inc.