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Discusión entre pares / Critical comments invited for already posted case
Kir PatIt,s well managed case. but better and prognostic functional forecast,Michael Dujela, it is not pattern of injury ,this is not classified weber one, but what worrisome is synd lig avulsion at t/f joint may be intraarticular needs to be assesed by CT/MRI also doubt of osteochondral to be adressed ..frg clearly seen at lateral tibial plafond.
Michael DujelaI don’t worry too much about an isolated AITFL avulsion as it contributed to about 20 percent of syndesmosis stability with PITFL and IOL most likely remaining. Agree with CT need Kiran Patel. I routinely do arthroscopy in a case like this at the beginning of the procedure
Gaur Gautam KarAbsolutely fine osteosynthesis. Syndesmosis was intact so why put a screw… this is a supin-add injury where the tension side (lat) often has really bad soft tissues so plating is not to be done.
Iqrar Rajafibula plating-low profile medial tibial plating Mippo. as a butteress wit a syndesmotic screw only if distal tibio fibular joint distance increases on dorsiflexion after fixation intra op-with due respect to the soft tissue