What is syndesmotic repair?

Syndesmotic repair is a specialized surgical procedure aimed at addressing injuries to the syndesmosis, a fibrous joint located between the tibia and fibula bones in the lower leg. This joint is crucial for maintaining ankle stability and proper leg alignment. Syndesmotic injuries, often referred to as “high ankle sprains,” occur when the ligaments connecting the tibia and fibula are damaged. Such injuries can result from severe trauma, such as in high-impact sports or car accidents, and may lead to instability and pain if not treated effectively.

Syndesmotic repair indications

Syndesmotic repair is indicated in several scenarios:

• High ankle sprains: When conservative treatments fail to alleviate symptoms or when there is significant instability in the syndesmosis joint.
• Fracture-dislocations: Following ankle fractures or dislocations where the syndesmosis is compromised, leading to persistent symptoms despite initial treatment.
• Chronic instability: In cases of recurrent or chronic instability of the syndesmosis joint that impairs function and quality of life.
• Failure of conservative treatment: When non-surgical methods such as rest, physical therapy, or bracing have not resolved the injury or have resulted in incomplete healing.

How does Dr Abramson perform syndesmotic repair?

Dr Michael Abramson performs syndesmotic repair with a meticulous and patient-focused approach. The procedure begins with a comprehensive assessment, including imaging studies such as X-rays or MRI scans, to evaluate the extent of the injury and any associated fractures. Based on this assessment, Dr Abramson formulates a precise surgical plan tailored to the patient’s needs. During the surgery, he makes an incision near the ankle to access the injured syndesmosis.

He then carefully re-aligns the tibia and fibula and stabilizes the joint using fixation devices, such as screws or plates. Dr Abramson often utilizes advanced techniques and high-quality materials to ensure optimal stabilization, which may include bioabsorbable screws that dissolve over time, reducing the need for hardware removal. Post-operatively, he emphasizes a thorough rehabilitation program, including pain management, physical therapy, and gradual weight-bearing exercises, to restore function and strength while monitoring recovery closely to address any potential complications.

FAQs