Description
This presentation by Heather Vallier focuses on syndesmotic injuries, which are prevalent in ankle fractures and can be either purely ligamentous or associated with fractures. Vallier discusses both the diagnosis and treatment controversies, highlighting the importance of effective reduction and stabilization techniques. The talk covers the anatomy involved (e.g. AITFL and interosseous membrane), diagnosing subtleties on imaging, and the variability of surgical practices despite evidence supporting certain outcomes associated with reduction and fixation.
Key points include the effectiveness of different fixation methods (screws versus suture buttons), considerations for when implant removal is necessary, and the challenges of weight-bearing during healing. Vallier emphasizes the importance of precise alignment during surgery to minimize complications and discusses outcomes from various fixation methods, noting the pros and cons in terms of cost and patient recovery. Ultimately, the goals are clear: accurate injury identification, optimal fixation, protection during healing, and monitoring for persistent pain to determine if implant removal is needed.