Medial Clear Space: When to Address the Deltoid Ligament in the Setting of Suspected Syndesmotic Injury?

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The primary objective of ankle fracture fixation is to recreate a tibiotalar articulation with physiological contact stresses. Although fixation of fracture fragments is conceptually straightforward, diagnosis and treatment of soft tissue constraints has proven difficult. The authors discuss historical diagnostic and treatment algorithms as well as empirical treatment strategies.

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