➤ Despite being common, syndesmotic injuries are challenging to diagnose and treat. ➤ Anatomic reduction of the ankle syndesmosis is critical for good clinical outcomes. ➤ Intraoperative three-dimensional radiography and direct syndesmotic visualization can improve rates of anatomic reduction. ➤ The so-called gold-standard syndesmotic screw fixation is being brought increasingly into question as new fixation techniques emerge. ➤ Syndesmotic screw removal remains controversial, but may allow spontaneous correction of malreductions.
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