Foot & ankle international
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There is minimal experience with less rigid syndesmotic fixation devices which may approximate the normal distal tibio-fibular mechanics during healing. This study evaluates the ability of a FiberWire-button implant (Arthrex, Naples, FL) to maintain syndesmotic reduction as compared with a metallic screw. ⋯ The FiberWire-button implant may not maintain adequate ankle syndesmotic reduction in the immediate post-operative period relative to a metallic screw.
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We describe a rare ankle fracture pattern called "the Bosworth fracture," originally described in 1947. A Bosworth fracture has been defined as a fixed posterior fracture-dislocation of the distal part of the fibula in which the proximal fibular shaft fragment locks behind posterior tibial tubercle. ⋯ We describe a new radiographic sign seen on anterior-posterior mortise radiographic view showing cortical density in the axilla of the medial tibial plafond: "the Axilla sign." This feature was also noted on the radiographs of other case reports with this unique injury. The presence of this sign should alert the treating surgeon to a possible Bosworth fracture.