“…6 Fractures involving more than 33% of the articular surface are likely to result in an unfavorable functional outcome for the patient. 7 However, there has been recent interest in the relevance of the posterior ligamentous complex and its role in syndesmosis stabilization, which may have radiological and functional consequences. 4,8,9 While the initial injury itself can impact the functional and radiological outcome, the treatment used can also be a modifiable factor.…”