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On the basis of their biomechanical experimental investigations on 10 metal models and 20 anatomic preparations of the ankle joint the authors have determined the quantitative parameters of the strength of tightening intertibial syndesmosis with a wire loop going round the transversal canals through the fibula and of the tibia. The reliability and the biomechanical validity of the method proposed by the authors have been confirmed by 39 clinical observations. The surgical technique is described.
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