“…Suspicion of MCTL injury may be confirmed by orthopedic examination combined with stress radiographs ( Vaughan, 1987 ; Fossum, 2013 ; Bogisch and Schuenemann, 2019 ; Linn and Duerr, 2020 ). Following diagnosis, two surgical management options are most commonly performed: the placement of a joint osteosynthesis plate ( Muir and Norris, 1999 ; Benson and Boudrieau, 2002 ; Mckee et al ., 2004 ; Scrimgeour et al ., 2012 ) or less frequently, the placement of a synthetic implant ( Aron and Purinton, 1985 ; Diamond et al ., 1999 ; Harasen, 2000 ; Martin et al ., 2019 ; Luescher et al ., 2020 ). These synthetic implants may be diverse, such as nylon monofilament, braided polyester wire or orthopedic wire that can be tied in a figure 8 around previously implanted screws in the tibia and the talus ( Aron and Purinton, 1985 ; Diamond et al ., 1999 ; Harasen, 2000 ).…”