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Review Question - QID 3017

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QID 3017 (Type "3017" in App Search)
An 18-year-old football player presents to the emergency department after sustaining an ankle injury. His radiograph is shown in figure A. What is the most appropriate definitive treatment?
  • A

Open reduction and internal fixation of the medial malleolus with syndesmosis reduction and suture-button repair

2%

36/1529

Repair of the anterior talo-fibular ligament

0%

2/1529

Open reduction internal fixation of the fibula with syndesmosis reduction and suture-button repair

1%

16/1529

Open reduction internal fixation of the medial malleolus and fibula

5%

70/1529

Open reduction internal fixation of the fibula and medial malleolus with syndesmosis reduction and suture-button repair

91%

1393/1529

  • A

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The radiograph demonstrates an ankle fracture-dislocation. There is diastasis of the distal tibia and fibula, indicating a syndesmosis injury.

Zalavras et al stated failure to recognize and treat the syndesomsis injury leads to inferior outcomes, and should be assessed after fibula and medial malleolar fixation. Treatment of choice is reduction of the syndesmosis and fixation.

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