Syndesmotic InternalBraceTM for anatomic distal tibiofibular ligament augmentation

Figure 10 Surgical treatment of the patient from Figure 8. Note the small bony tibial avulsion fragment of the anterior tibiofibular ligament (black arrow) and the corresponding avulsion site (white arrow) at the tubercule de Chaput (A). After reduction of the avulsion fragment the whole ligament proved to be intact (B). Insertion of a FiberTape^® about 4 mm proximal and medial of the avulsion site with a 4.75 mm SwiveLock^® (C). Standard osteosynthesis of the distal fibula was performed using an anatomic preformed locking plate (Arthrex^®, Naples, United States). The reduced tibial avulsion fragment was then stabilized with a FiberTape^® fixed by the tibial 4.75 mm SwiveLock^® and by knots under the osteosynthesis plate (D).