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Just Ortho Things on Instagram: "Let’s discuss more about syndesmotic screws Update to last post: If you screw is widening medial clear space its eccentric to syndesmosis axis. Flexible fixation options like “tight rope” rarely pose these issues and tolerate even an eccentric drill track but screw being a rigid device alters lateral malleolus rotation and ultimately talar orientation making medial clear space abnormal. When tight rope is not an option better to timely revise the screw. . . . . .
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