[Transfixation of the tibio-fibular syndesmosis in the surgical treatment of malleolar fractures].

The authors consider the problem of management of malleolar fractures with a special reference to B and C types of fractures by Weber. They have presented their observations in the out-patient service and consequences of inadequate surgical treatment of these fractures. Transfixation of distal tibio-fibular syndesmosis should be performed only if necessary which is evaluated by a single pronged hook test after osteosynthesis. Adequate rigidity and stability of syndesmosis has been achieved several times by osteosynthesis only so that additional fixation is not necessary.