{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:25:17Z","timestamp":1783441517180,"version":"3.54.6"},"reference-count":32,"publisher":"Bioscientifica","issue":"1","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":2964,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Conventional treatment of syndesmosis injuries in rotationally unstable ankle fractures is associated with an unacceptably high rate of malreduction, and this has led to a paradigm shift in the approach to a newer concept of anatomical repair. In the anatomical approach, the principle is to \u2018directly fix what is broken and repair what is torn\u2019. The approach is effective in reducing the rate of syndesmosis malreduction, increasing the biomechanical strength of syndesmosis fixation and avoiding the need for trans-syndesmotic fixation and its secondary removal. The objective of this review article is to compare the conventional treatment of these injuries (accepted usage, general consent, traditional, generally accepted) with a newer anatomical approach to be considered as a shift in thinking.<\/jats:p>\n                  <jats:p>Cite this article: EFORT Open Rev 2018;3:24-29. DOI: 10.1302\/2058-5241.3.170017<\/jats:p>","DOI":"10.1302\/2058-5241.3.170017","type":"journal-article","created":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T20:10:27Z","timestamp":1516911027000},"page":"24-29","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":22,"title":["Repair of syndesmosis injury in ankle fractures: Current state of the art"],"prefix":"10.1530","volume":"3","author":[{"given":"May Fong","family":"Mak","sequence":"first","affiliation":[{"name":"1Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland; Department of Orthopaedics, Waikato Hospital, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Stern","sequence":"additional","affiliation":[{"name":"2Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Assal","sequence":"additional","affiliation":[{"name":"2Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2018,1,25]]},"reference":[{"issue":"66-A","key":"2026070711200078200_bibr1-2058-5241.3.170017","doi-asserted-by":"crossref","first-page":"490","DOI":"10.2106\/00004623-198466040-00002","article-title":"Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures","author":"Leeds","year":"1984","journal-title":"J Bone Joint Surg [Am]"},{"key":"2026070711200078200_bibr2-2058-5241.3.170017","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1097\/01.bot.0000177114.13263.12","article-title":"Intraoperative diagnosis of syndesmosis injuries in external rotation ankle 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