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Proximal Tibiofibular Fixation Using a Dynamic Syndesmosis Fixation Device
The Internet Journal of Orthopedic Surgery, 10/15/09

Main CD et al. – Traditional surgical treatment options for chronic proximal tibiofibular dislocations include arthrodesis, resection of the fibular head and reconstruction of the proximal tibiofibular joint. Resection of the fibular head presents similar concerns as arthrodesis, including arthritic changes of the ankle joint, and may also compromise the fibular collateral ligament. This may lead to knee instability and have an effect on gait. Therefore, this approach is best reserved for salvage therapy. Cutting studies have revealed the stability of the joint to be present unless the fibular collateral ligament was cut or the knee was flexed past 80 degrees.

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