Peroneus Longus Ligamentoplasty for Chronic Instability of the Distal Tibiofibular Syndesmosis

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Peroneus Longus Ligamentoplasty for Chronic Instability of the Distal Tibiofibular Syndesmosis

By Juan Mingo-Robinet 3 Videos

1,012 views

September 17, 2018

Syndesmotic injury is produced by forced external rotation of the talus in the ankle
mortise, ...
read more ↘ so it is assumed in those patients with a Weber C/Pronation-external rotation ankle fractures. But syndesmotic instability is also common in unstable Weber B/supination-external rotation pattern lateral malleolar fractures, even after anatomic and stable bony fixation (Stark, E., Tornetta III, P., & Creevy, W. R. (2007). Syndesmotic instability in Weber B ankle fractures: a clinical evaluation. Journal of orthopaedic trauma, 21(9), 643-646.).

When treating chronic syndesmotic lesions, tibiofibular arthrodesis is suggested if the patient is not amenable to reconstruction methods, or if it is technically not possible or contraindicated. This video exposes a syndesmosis reconstruction with a split peroneus longus tendon as described by R. Grass (Grass, R., Rammelt, S., Biewener, A., & Zwipp, H. (2003). Peroneus longus ligamentoplasty for chronic instability of the distal tibiofibular syndesmosis. Foot & ankle international, 24(5), 392-397.)
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