Orthopedics Medical News about Fracture Fixation, Internal

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Delayed operative treatment of syndesmotic instability. Current concepts review
Injury, 10/15/09

Van Den Bekerom MPJ et al. – For the treatment of persistent widening and late instability these reconstruction techniques have to be used combined with debridement and placement of a syndesmotic screw to protect the reconstruction. Most adequate treatment for chronic syndesmotic instability (>6 months) is the creation of a synostosis to stabilise the distal tibiofibular joint. Late repairs give satisfactory but less favourable outcome as compared to properly treated acute injuries. It is not easy to regain complete stability by means of these secondary procedures.

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