QUESTIONS WITH DETAILED SOLUTIONS
GRADED A+
◉What are the 3 syndesmotic ligaments? Answer: AITFL
PITFL
Interosseous Ligament
◉Where do you place the TightRope from the ankle joint? Answer: 1.5
cm above
◉What size drill bit is used for the Tightrope? Answer: 3.7 mm
◉What type of suture is used in the Tightrope? Answer: #5 UHMWPE
◉What type of fracture occurs below the ankle joint line? Answer:
Weber A
◉What type of fracture occurs at the ankle joint line? Answer: Weber B
,◉What type of fracture occurs above the ankle joint line? Answer:
Weber C
◉What percentage of syndesmosis injuries come with ankle fractures?
Answer: 15-20%
◉What is the Tightrope strength? Answer: 11,000 N
◉What is considered an ankle fracture Answer: A fracture of one or
more malleoli
◉What is considered an ankle fracture? Answer: Lauge-Hansen, Davis-
Weber
◉What screws does the Ankle Management System come with?
Answer: 2.7 mm locking, 3.0 cancellous, 3.5 cortical & locking, 4.0
cancellous, and 4.0 cannulated
◉Which plate is the most popular pre-contoured plate? Answer:
Locking distal fibula
◉How many holes does the locking distal fib plate have for
syndesmosis? Answer: 2 holes and 35 degree cut outs
, ◉Screw order and features for locking distal fib Answer: 3.5/4.0
proximal
2.7/3.0 distal
Often used with Weber A
1.2 mm thick distally
2.0 mm thick proximally
◉Screw order and features for locking third tubular plate Answer: 3.5
or 4.0 mm screws
Weber B
1.5 mm thick
◉Screw order and features for locking straight plate? Answer: 3.5 or
4.0 mm
Used in Weber C with tightrope
2.3 mm thick
◉Screw order and features for locking lateral hook plate Answer: 3.5 or
4.0 proximal
2.7 or 3.0 distal
4.0 cancellous
1.5 mm thick