PURPOSE: Malalignment of syndesmosis is generally associated with a poor outcome, yet occurs at a high rate in @entity1171 . In this study, we examine whether @entity130 associated with @entity1171 can be avoided using Weber's three indexes in the mortise view. MATERIALS AND METHODS: Of 156 @entity1 with @entity1171 who underwent surgery from December 2012 to March 2016 at two medical facilities, 24 @entity1 who received syndesmotic screw fixation were included in the study. Fractures were Danis-Weber types B and C in 8 (8/134, 6.0%) and 16 (16/22, 72.7%) @entity1 , respectively. Using axial computed tomography (CT), we calculated the difference between injured and non-injured sides for each of three parameters: tibiofibular clear space (TFCS), anterior tibiofibular interval (ATF), and @entity717 (  (fib)). Malreduction was diagnosed if one or more of the three parameters had an abnormal value. Weber's three indexes in the mortise view on the injured side were used to determine whether @entity353 was performed successfully. Consistency between the evaluation of @entity353 in axial CT images and reevaluation of mortise views was examined by calculation of sensitivity, specificity, positive predictive value ( @entity2286 ), and negative predictive value (NPV). RESULTS: The rate of malreduction of syndesmosis in axial CT images was 29.2% (7/24). Re-evaluation in the mortise view confirmed malreduction of syndesmosis in six of the seven subjects, all of whom also had malreduction based on axial CT images. The one subject in whom malreduction could not be detected in a mortise view showed an abnormal value only for ATF. Use of the mortise view for perioperative diagnosis had a sensitivity of 0.857, specificity of 1.000, @entity2286 of 1.000, and NPV of 0.944. CONCLUSION: The results of our study show that malreduction of syndesmosis can be avoided by careful interpretation of intraoperative perspective mortise views based on Weber's three indexes. To increase the diagnostic accuracy further, it is important to detect anteroposterior deviation of the fibula in intraoperative lateral views.

Malreduction of syndesmosis injury associated with XXXX can be avoided using Weber's three indexes in the mortise view.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity353 :: ('MESH:D015431', 'Disease') :: ['reduction of syndesmosis'] @entity2286 :: ('12211', 'Species') :: ['PPV'] @entity1171 :: ('MESH:D064386', 'Disease') :: ['malleolar ankle fractures', 'malleolar ankle fracture'] @entity717 :: ('MESH:D009069', 'Disease') :: ['fibular rotation'] @entity130 :: ('MESH:D014947', 'Disease') :: ['malreduction of syndesmosis injury']
@entity1171 :: (MESH:D064386,Disease) :: ['malleolar ankle fracture']
