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Soft Tissue Repair in Supination-External Rotation IV Ankle Fractures

Donders, Johanna C.E. MD; Gausden, Elizabeth B. MD; Levack, Ashley E. MD, MAS; Helfet, David L. MD; Lorich, Dean G. MD

Techniques in Foot & Ankle Surgery: September 2017 - Volume 16 - Issue 3 - p 136–140
doi: 10.1097/BTF.0000000000000155
Special Focus: Soft Tissue Reconstruction in the Foot and Ankle

Achieving optimal functional outcomes while preventing posttraumatic ankle arthritis in patients with unstable ankle fractures remains challenging for orthopedic surgeons. The rate of syndesmotic malreduction is alarmingly high after transsyndesmotic screw fixation. The senior author introduced an alternative to transsyndesmotic screw fixation with anatomic approach to bone and ligament repair. Here we review the development of this approach and present the technique of repairing soft tissue structures in unstable ankle fractures.

Department of Orthopedic Trauma Surgery, Hospital for Special Surgery, New York Presbyterian Hospital, and Weill Cornell Medicine, New York, NY

The authors declare no conflict of interest.

Address correspondence and reprint requests to Johanna C.E. Donders, MD, Department of Orthopedic Trauma Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021. E-mail: dondersj@hss.edu.

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