[Chronic instability talocrural joint after tibiofibular syndesmosis traumatic injures].

The authors present long term results of treatment for traumatic injuries of the tibiofibular syndesmosis being a part of crural fractures considering the chronic talocrural joint instability. It presents different operational methods of treatment evaluating simultaneously the effect this method has on regaining the functional efficiency of the operated joint. The evaluation of the talocrural joint anterior stability is performed according to my own method and lateral and medial stability is based on Zwipp's method. The clinical material of 1997-2004 year are 62 cases, 40 male (64.5%) and 22 female (35.5%) treated operatively because of ankle fractures in which performed stabilization of injured tibio-fibular syndesmosis. Average time of study is 6 month. Obtained outcomes of observation permit to make assertion that traumatic damage of tibio-fibular syndesmosis during ankle fractures demand anatomical alignment and effective stabilization of fragments and reconstruction of ligaments. Inveterate ankle sprain cause rotation talocrural joint instability.