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Anterior Subluxation of the Talus: A Complication of Malreduction of the Ankle SyndesmosisA Report of Three Cases
C. Max Hoshino, MD1; Elliot S. Mendelsohn, MD1; Daniel M. Zinar, MD1; Guy D. Paiement, MD2; Thomas G. Harris, MD1
1 Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, 1000 West Carson Street, Box 422, Torrance, CA 90509. E-mail address for C.M. Hoshino: hoshinomax@gmail.com
2 Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Suite 603, Los Angeles, CA 90048
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Investigation performed at the Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, California



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Dec 12;2(4):e78 1-6. doi: 10.2106/JBJS.CC.L.00086
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Extract

The goal of operative treatment of unstable ankle fractures is to obtain an anatomic reduction of the ankle mortise and provide stable fixation until osseous union and ligamentous healing occur1. The syndesmosis, an important secondary stabilizer of the ankle joint, may be injured in rotational ankle fractures and require stabilization. However, placement of a transsyndesmotic screw is an independent risk factor for inferior outcomes2, which may be caused by the high incidence of syndesmosis malreduction when a closed reduction is attempted3,4.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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