Table 1.

Pearls and Pitfalls of the Endoscopic Distal Tibiofibular Syndesmosis Arthrodesis

Pearls	Pitfalls
1. Preoperative computed tomography scan is important for preoperative planning.	1. It cannot correct the syndesmosis malalignment if there is malunion of the fibula.
2. The working space is at the tibiofibular overlap and outside the ankle joint.	2. The location of the ankle joint cannot be determined endoscopically.
3. Adequate resection of the scar tissue and bone block is essential for the anatomical reduction of the syndesmosis.	3. The location of the instrument should be checked regularly under fluoroscopy to avoid iatrogenic damage to the ankle joint.