Syndesmosis Injury in Ankle Fractures - BOFAS Lecture of Distinction

Description

This webinar transcript discusses the management of ankle fractures specifically focusing on posterior malleolus fractures and the syndesmosis. The session starts with introductions and an overview of the relevance of ankle fractures in orthopedic training. The speakers, Andy Molloy and Professor Lyndon Mason, aim to distinguish between myth and established scientific evidence concerning ankle fracture stabilization.



The presentation indicates that syndesmosis plays a critical role in ankle stability, and much of the conversation revolves around the anatomy and biomechanics of the ligamentous structures involved. A new term, "sequacious," is introduced to emphasize the need for evidence-based practice rather than blind adherence to tradition.



Professor Mason highlights the importance of understanding the anatomy and the numerous studies conducted surrounding syndesmosis injuries and management. Various tests and strategies for diagnosing syndesmotic injuries are covered, touching upon the clinical examination techniques, including the external rotation test and the value of imaging.



As the discussion transitions, the speakers delve into surgical approaches, hardware selection, and the nuances of managing syndesmotic fixation. The emphasis is placed on the importance of aligning with evidence-based practices when making decisions regarding the fixation techniques, reviewing controversies around screw removal and weight-bearing practices post-surgery.



In conclusion, the webinar provides a comprehensive overview of contemporary approaches to managing ankle fractures, stressing that knowledge of anatomy, awareness of the mechanics of injury, and flexible fixation strategies collectively contribute to better patient outcomes and surgical success.

Specialties