Description of patient (type of occupation, indication of age, intensity of sport):
A 30 years old active female.
History and previous treatment:
Trimalleolar fracture 6 month back, treated with ORIF , 6 weeks after initial surgery screw holding poterior tibial margin and syndesmotic screw removed.
Current complaints:
Hindfoot valgus , ankle pain - deep ans syndesmotic squizze test painfull ++.
Physical examination:
Hindfood valgus , deep ankle pain , ROM 30 plantar , 20 dorsal.
Radiology:
X-ray:
[Picture 1]
Additional investigation (CT/MRI):
[Picture 2]
CT done - Tillaux fragnet fractured nonunited blocking groove for fibula , screw holding posterior margin was actually in syndesmosis.
Images:
Case summary:
Old syndesmotic injury with painful ankle
Question(s) to this case:
Best operative treatment solution , any advantage from anterior ankle artroscopy?
Expert:
Advice is to reconstruct the posterior fragment which is non-united. This can be done through a posterolateral open approach.