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Figure 1. Distal fibula fracture (A) after bony fixation with insufficient reduction of the tibiofibular syndesmosis: red lines show widening of the tibiofibular syndesmosis and the medial joint space. The horizontal tibiotalar joint space is normal (green line). (B) after reduction and fixation with an additional syndesmotic screw: distal tibiofibular distance and joint spaces are normal (green lines).