Anatomic syndesmotic reduction is an important predictor of successful outcomes after ankle fracture fixation with associated syndesmotic injury. Various methods to check syndesmotic reduction range from mini-open technique and visualization to various radiographic parameters on standard C-arm to postoperative CT scans. Intraoperative CT scan will definitely be the best imaging modality and can avoid re-surgeries. With the advent of C-arm CT scans, the whole process of intraoperative CT scans can be cost-effective, compact, and easy portability between operation theaters.
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