Operative aspects of the syndesmotic screw: Review of current concepts

Michel P.J. van den Bekerom*, Mike Hogervorst, Hugo W. Bolhuis, C. Niek van Dijk

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review


The distal tibiofibular syndesmosis is important for stability of the ankle mortise and thus for weight transmission and walking. Syndesmotic injuries are most commonly associated with fibular fractures, but they can also occur in isolation or with damage to the lateral ankle ligament after traumatic supination. The need for trans-syndesmotic fixation of the distal tibiofibular joint has been controversial. The goal of this review was to collect evidence on the technical aspects of performing an osteosynthesis using a syndesmotic screw and to formulate some recommendations for clinical practice.

Original languageEnglish
Pages (from-to)491-498
Number of pages8
Issue number4
Publication statusPublished - 1 Jan 2008
Externally publishedYes


  • Ankle injury
  • Instability
  • Operative technique
  • Review
  • Screw
  • Syndesmotic injury


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