Fig. 3

A typical case of distal tibiofibular syndesmosis injury treated with the encircling and binding technique. A Preoperative radiograph shows a fracture of the right ankle with injury to the distal tibiofibular syndesmosis. B Three months after surgery, radiography reveals that the fracture has healed well and there is no loss of reduction of the distal tibiofibular syndesmosis. C One year after surgery, radiography shows that the internal fixation is in place and there is no loss of reduction. D Ankle function at the last follow-up