الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Approximately, 10% of ankle fractures are associated with syndesmosis injuries, and such injuries are usually caused by an external rotation twisting force that causes the talus to rotate externally in the mortise, leading to sequential disruption of the syndesmotic ligaments. This can be associated with syndesmotic (Danis-Weber type B injury) or supra-syndesmotic level (Danis-Weber type C injury) fibular fracture.
To ensure optimum functional outcomes after an ankle fracture with syndesmotic disruption, it’s important to achieve accurate anatomical restoration of the ankle mortise and stable fixation of the disrupted syndesmosis. The conventional syndesmotic screw remains the most popular method to stabilize the syndesmosis, even though several other methods have been described in the literature. However, up to date, there has been no agreement over the optimal method of syndesmosis fixation and the subsequent follow-up management, especially the lateral malleolus Weber C fractures.