Mark Nazal, MD


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"Ankle fractures are among the most common injuries treated by orthopaedic surgeons, with approximately 20% sustaining a concomitant injury to the distal tibiofibular syndesmotic ligaments. The ankle syndesmosis is crucial for maintaining joint congruence and normal tibiotalar contact mechanics during weight bearing. This has short-term implications on patient outcomes and functional status, and long-term implications in the development of post-traumatic osteoarthritis of the tibiotalar joint. Previous studies have postulated that dorsiflexing the ankle during syndesmotic fixation may recreate the deforming force, potentially leading to malreduction via external rotation and lateral translation of the fibula. However, to our knowledge, there are currently no studies that quantitatively assess the quality of reduction in regards to ankle position during fixation.

Our research team is highly appreciative of the OTA’s dedication and funding of resident research. The OTA was fundamental to facilitating the undertaking of this cadaveric study that will advance our understanding of a common traumatic injury that is seen by Orthopaedic surgeons around the globe. We hope this research refines our evidence-based practices for our patients and sets the stage for future advancements in this realm. Lastly, a special thank you to the mentorship and dedication to teamwork of Dr. Arun Aneja and Dr. Arjun Srinath."

A Cadaveric Study: Does Ankle Positioning Impact the Quality of Anatomic Syndesmosis Reduction? 

Mark R Nazal, MD, MPH, University of Kentucky
Co-Principal Investigators: Arun Aneja, MD, PhD; Arjun Srinath, MD, MPH