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Pre-op prior to revision syndesmosis reconstruction
Pre-op XR after failed syndesmosis repair

Revision syndesmosis reconstruction

by Mark Farndon

After falling several hundred feet whilst climbing near Chamonix, Phil Burgess sustained injuries to his neck, back and ankle. His spinal injuries were treated successfully conservatively with bracing. His ankle injury was treated promptly with surgery in France, though the reconstruction of the ankle joint and syndesmosis was inadequate, necessitating revision syndesmosis reconstruction.

Phil sought a second opinion following his return to the UK, six weeks after the initial accident and surgery. Revision reconstruction of the syndesmosis was advised.

“I suffered a severe dislocation after a major climbing fall in the Alps. My ankle was pinned but unsuccessfully by medics in France and after a period of delay I turned to Mark for a second opinion. He was clear that I needed further immediate revision syndesmosis surgery, explained the action fully and accelerated my procedure to suit my personal circumstances.

The operation has given me the best possible chance of normal ankle use.
Mark kept me fully informed and his admin team were also brilliant in support. I can’t thank Mark and his team enough.”
Removal of metalwork, open reduction of the syndesmosis and repair of the deltoid ligament and stabilisation with a combination of screw and suture button ‘tightrope’ fixation were required.

 

Intra-op XR showing reconstruction of the syndesmosis