Arthrodesis of syndesmotic joint for failed fixation of syndesmosis: A case report

Abstract

Introduction: Ankle syndesmosis comprises an integral part of the ankle joint complex. As a fibrous structure resists the axial, rotational, and translational forces and hence maintains the integrity of the ankle mortise. Clinical features: We hereby present a case report of chronic syndesmotic injury managed initially with screw fixation with persistent pain and instability after initial fixation who underwent fusion of syndesmosis with excellent recovery and resolution of his symptoms. Intervention and outcome: Among the various modes of operative fixation for chronic syndesmotic injuries namely suture-button fixation, arthroscopy and debridement, and arthrodesis, we resorted to arthrodesis of the syndesmotic joint which led to the resolution of the patient's symptoms which were otherwise hampering his activities of daily living. Conclusion: Fusion of ankle syndesmosis is one of the management options for failed fixation of ankle syndesmosis.

Keywords

• Chronic syndesmotic injury
• Syndesmosis
• Arthrodesis