The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies.

Background The tibiofibular line (TFL) technique was initially proposed to assess syndesmosis reduction. Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL's applicability to various fibula morphologies.

Reliability of the "Clinical Tibiofibular Line" Technique for Open Syndesmosis Reduction Assessment.

Background: When intraoperative computed tomography (CT) is unavailable, open syndesmosis assessment is a universally available, safe alternative that is more accurate than radiographic assessment. However, it has a documented malreduction rate of up to 16%. This may be improved upon with a validated technique for assessing the accuracy of open syndesmosis reductions.