Mosheiff R, Liebergall M, Margulies J Y, Peyser A, London E, Segal D
Department of Orthopaedic Surgery, Hadassah University Hospital, Jerusalem, Israel.
J Foot Ankle Surg. 1993 Sep-Oct;32(5):462-6.
Three patients with ankle fractures are presented to demonstrate poor results due to improper application of a syndesmotic screw. In these cases failure of surgical treatment caused accelerated disruption of the ankle mortise with cartilage wear, or instability and joint distraction. Simple internal fixation with a single screw requires strict awareness of the potential harm that can be inflicted on the joint. The syndesmotic screw has to be inserted with a proper understanding of the biomechanics of ankle joint structures.
