Work

Arthroscopic‐Assisted Adjustable Progressive Compression Fixation for Distal Tibiofibular Syndesmosis Injury

Year: 2026

Type: article

Abstract: The distal tibiofibular syndesmosis injuries are a common type of ankle injury. Traditional rigid screw fixation presents issues such as restricting physiological micromotion and requiring a second surgery for removal. The existing elastic fixation techniques have limitations, including insufficient fixation strength and nonadjustable tension. This technical note describes an arthroscopic-assisted adjustable progressive compression fixation technique. By rotating the fibular-side EndoButton, the 4-strand high-tensile sutures synchronously twist and shorten, achieving continuous and controllable transverse compression of the distal tibiofibular syndesmosis. This technique combines the strength of rigid fixation with the physiological compliance of elastic fixation. Intraoperatively, tension can be adjusted in real-time based on tactile feedback, direct arthroscopic visualization, and fluoroscopic imaging, achieving an optimal balance between stability and micromotion. This technique provides a reliable fixation option for distal tibiofibular syndesmosis injuries.

Source: Arthroscopy Techniques

DOI: 10.1002/atn2.70336

Authors: Kehan Li, Yang Chen, Qiang Guo, Bo Zhang, Haijun Zhang, Qiaojie Chen

Institution: Ningbo No. 2 Hospital

Language: English

Topic: Foot and Ankle Surgery

Subfield: Orthopedics and Sports Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975