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Ankle syndesmotic reconstruction in chronic ankle syndesmotic injury
  1. Khalid Sharafeldin1,
  2. Mohammed Eltinay2,
  3. Mohammed Al Qahtani1 and
  4. Sultan M Alblaui2
  1. 1Orthopaedic Department, King Abdulaziz Airbase Hospital, Dhahran, Eastern State, Saudi Arabia
  2. 2Orthopaedic Department, King Fahd Military Medical Complex, Dhahran, Eastern State, Saudi Arabia
  1. Correspondence to Dr Khalid Sharafeldin; knsharaf{at}


Acute syndesmotic injury is a common problem treated with different surgical tools. If not managed appropriately, it can lead to chronic ankle syndesmotic insufficiency. Chronic syndesmotic insufficiency is challenging to diagnose, and the patient can suffer for a long time. There is no consensus in previous literature on the surgical treatment of chronic syndesmotic injury. We present a case of personnel who suffered from chronic syndesmotic injury treated by syndesmotic reconstruction 5 years after his ankle fracture dislocation and returned to his work. This case highlights the importance of a CT scan post-reduction of an acute syndesmotic injury to assess accurate reduction, especially in severe injuries with frank diastasis.

  • Surgical diagnostic tests
  • Trauma
  • Orthopaedics
  • Orthopaedic and trauma surgery

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  • Contributors The authors contributed in the article as follows: conceptualisation—KS; resources—ME; project administration—MAG; supervision—SMA.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.