Syndesmotic InternalBraceTM for anatomic distal tibiofibular ligament augmentation

Figure 13 Intraoperative testing of syndesmotic stability after distal fibular plating: The classical hook test (A, B) shows no lateral translation of the distal fibula while pulling the distal fibula laterally and pushing the distal tibia medially, indicating a normal result without syndesmotic instability, however, the same ankle joint shows relevant rotational instability of the anterior tibiofibular ligament (C, D) indicating the need for surgical stabilization.