2023 Annual Meeting Foot & Ankle Access Pass-Surgical Spotlight: Syndesmotic Stabilization: My Arthroscopic Technique

Surgical Spotlight: Syndesmotic Stabilization: My Arthroscopic Technique

Video Transcription

Video Summary

Dr. Eric Giza from UC Davis discusses arthroscopic surgical treatment of syndesmotic injuries, emphasizing the complexity of the syndesmosis anatomy and the importance of accurate diagnosis and repair. He explains ligament involvement (AITFL, interosseous ligament, PITFL) and highlights subtle injury indicators. MRI and arthroscopy aid diagnosis, with arthroscopy being the gold standard. He supports flexible fixation (tightrope) over screws to allow earlier return to activity. Proper reduction is critical, often using clamps under arthroscopic visualization. Deltoid ligament assessment and repair are essential for stability. An internal brace may enhance repair in severe cases. Post-op protocols vary but aim for early mobilization and return to sport.

Asset Caption

Eric Giza, M.D.

Keywords

arthroscopic syndesmotic injury treatment

syndesmosis anatomy and diagnosis

flexible fixation tightrope

ligament repair and internal brace

postoperative early mobilization