Internal Compression Screw Exchange for Reduction of Distal Tibiofibular Syndesmotic Injuries.

Traumatic injuries to the distal tibiofibular syndesmosis often accompany ankle fractures. Repair of the syndesmosis is critical for the normal function of the ankle joint. Conventional reduction of the diastasis is achieved with the use of a periarticular reduction clamp.

Tissue Expansion Technique for Desyndactylization of Toes Using an External Fixator.

We present an alternative technique for desyndactylization of toes using soft tissue traction with an external fixator. This method allows for tissue expansion for subsequent skin plasty, thereby avoiding the need for a graft or complicated local skin rearrangement. The use of the conventional acute correction technique can create more scarring and might increase the potential for complications, especially if the graft is obtained from a remote site.