Special FocusRecurrent Syndesmotic Diastasis Treated With Revision Tightrope FixationLin, Sheldon MD; Genovese, Nicholas MDAuthor Information Rutgers News Jersey Medical School, Newark, NJ The authors declare no conflicts of interest. Address correspondence and reprint requests to Nicholas Genovese, MD, Rutgers News Jersey Medical School, Newark, NJ 07103. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: March 2021 - Volume 20 - Issue 1 - p 28-37 doi: 10.1097/BTF.0000000000000315 Buy Metrics Abstract Recurrent syndesmotic diastasis following screw fixation for pronation-external rotation (Weber C) fractures is a known complication, however, the ideal management for revision reduction and fixation of the syndesmosis remains controversial. This article reviews the background of syndesmotic injuries, as well as recent aspects of management that have generated controversy. Particular emphasis is placed on syndesmotic stability, assessment of reduction, and various methods of fixation. Level of Evidence: Diagnostic Level V—review article, expert opinion. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.