Which Ankle Fractures Require Syndesmotic Stabilization?

Michel P.J. van den Bekerom, Bas Lamme, Mike Hogervorst, Hugo W. Bolhuis

Research output: Contribution to JournalArticleAcademicpeer-review


Syndesmotic ruptures associated with ankle fractures are most commonly caused by external rotation of the foot, eversion of the talus within the ankle mortise, and excessive dorsiflexion. The distal tibiofibular syndesmosis consists of the anterior inferior tibiofibular ligament, posterior inferior tibiofibular ligament, and interosseous ligament, and it is essential for stability of the ankle mortise. Despite the numerous biomechanical and clinical studies pertaining to ankle fractures, there are no uniform recommendations regarding the use of the syndesmotic screw for specific injury patterns and fracture types. The objective of this review was to formulate recommendations for clinical practice related to the use of syndesmotic screw placement.

Original languageEnglish
Pages (from-to)456-463
Number of pages8
JournalJournal of Foot and Ankle Surgery
Issue number6
Publication statusPublished - 1 Nov 2007
Externally publishedYes


  • ankle injury
  • ankle instability
  • review
  • syndesmosis
  • syndesmotic screw


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