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World J Orthop. May 18, 2021; 12(5): 270-291
Published online May 18, 2021. doi: 10.5312/wjo.v12.i5.270
Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts
Francesco Pogliacomi, Massimo De Filippo, Daniele Casalini, Alberto Longhi, Fabrizio Tacci, Rocco Perotta, Francesco Pagnini, Silvio Tocco, Francesco Ceccarelli
Francesco Pogliacomi, Department of Medicine and Surgery, Orthopaedic Clinic, Parma 43126, Italy
Massimo De Filippo, Daniele Casalini, Alberto Longhi, Fabrizio Tacci, Rocco Perotta, Francesco Pagnini, Francesco Ceccarelli, Department of Medicine and Surgery, University of Parma, Parma 43126, Italy
Silvio Tocco, Centro Riabilitativo della Mano e Arto Superiore, Parma 43121, Italy
Author contributions: Pogliacomi F designed the study; Pogliacomi F, Casalini D, Longhi A and Ceccarelli F wrote the orthopedic sections; De Filippo M, Perotta R and Pagnini F wrote the radiological parts; Tacci F collected and prepared the images; Tocco S, a native English speaker, revised and corrected the text; All authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Francesco Pogliacomi, MD, Associate Professor, Department of Medicine and Surgery, Orthopaedic Clinic, Via Gramsci 14, Parma 43126, Italy. francesco.pogliacomi@unipr.it
Received: October 31, 2020
Peer-review started: October 31, 2020
First decision: March 31, 2021
Revised: April 14, 2021
Accepted: April 28, 2021
Article in press: April 28, 2021
Published online: May 18, 2021
Processing time: 193 Days and 3.1 Hours
Core Tip

Core Tip: Patients with unstable distal tibiofibular syndesmosis injuries associated with fractures require surgical stabilization. The aim of surgical treatment is to restore joint congruency and to maintain the stability of the syndesmosis until the ligaments have healed. Satisfactory results depend on correct management from diagnosis to treatment. Static and dynamic fixation systems have similar long-term clinical and radiological outcomes.