Tib/Fib Instability Tteatment

Screw Fixation

Surgery for a syndesmosis injury is designed to reduce the separation between the tibia and fibula. If there are no barriers keeping the tibia and fibula apart, the surgeon may simply need to place screws through the two bones to hold them together while the ligaments heal.  

A secondary procedure will occur 4-6 weeks after primary surgery. In this procedure the screw will be removed and replaced with an Arthrex Tightrope, which will remain insitu long term.

What Happens After the Procedure?

Post-surgery you can weight bear immediately, as tolerated using a Range of Motion Boot. This will stabilise the ankle joint during the rehabilitation period. You will be required to wear this for 4 weeks post operatively. Crutches may also be required depending on whether your anaesthetist performs a regional block. Crutches will need to be organised prior to surgery. You can expect some pain and swelling following surgery. The leg may need to be kept elevated and you may need to take oral pain medication. Try to elevate your leg 4 hours for the first 4 days and intermittently ice the area (your boot can be taken off to do this)

You will likely be examined at 1 week, 4 weeks, 6 weeks and 12 weeks post operatively. Ankle strengthening with a physiotherapist should commence 4 weeks post operatively, however your surgeon will confirm this at your 4-6 week appointment.