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. 2023 Mar 23;13:4801. doi: 10.1038/s41598-023-31810-6

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© The Author(s) 2023

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Distal tibiofibular syndesmotic joint distance mapping (A) and volumetric analyses (B). Distance maps were created (Disior Ltd, Bonelogic 1.0, Helsinki, Finland, https://www.disior.com/ortho-foot-and-ankle) along the averaged normal directions between the interfacing regions of the distal tibia and fibula (A). The bounded volume of these interactions (Matlab, MATLAB 2019a, MathWorks, Massachusetts, USA, https://www.mathworks.com) was automatically measured at 4 levels (1, 3, 5 and 10 cm proximally to the ankle joint) and are shown in colors from green to dark blue with the medial and lateral gutters in pink and red, respectively (B).