Open AccessFibular Lengthening Osteotomy With Revision Syndesmotic Repair for Ankle Fracture Malunion
Author(s) -
Derek G Ju,
Eytan M. Debbi,
Adam Neustein,
Charles Moon
Publication year - 2019
Publication title -
journal of orthopaedic trauma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 121
eISSN - 1531-2291
pISSN - 0890-5339
DOI - 10.1097/bot.0000000000001534
Subject(s) - malunion , medicine , syndesmosis , ankle , fixation (population genetics) , fibula , surgery , osteotomy , nonunion , reduction (mathematics) , tibia , population , geometry , environmental health , mathematics
Ankle malunions with a shortened fibula and syndesmosis widening can pose challenges to the patient and treating physician. Indications for revision-operative intervention include persistent pain and disability. Shortened fibula malunions can be addressed using a lengthening fibular osteotomy and revision fixation. Chronic syndesmotic injuries can be addressed with syndesmotic debridement, open reduction, and suture button fixation. In this video, we present our surgical technique and rationale for the management of a shortened fibular malunion with persistent syndesmotic widening.