biostudies-literatureUnknown13(9)Mioduszewski AThe anteroinferior tibiofibular ligament (AITFL) is 1 of the 4 ligaments forming the distal tibiofibular syndesmosis. When damaged, it is crucial to assess and address the lesion properly because a neglected or underdiagnosed lesion may invoke ankle osteoarthritis with underlying tibiofibular joint instability. In this technical note, we present a fully arthroscopic stabilization of the AITFL without the need for soft-tissue grafting. Our technique aims to create horizontal suture fixation over the damaged AITFL that serves as a mechanically efficient stabilization for the anterior aspect of the distal tibiofibular syndesmosis.Arthroscopy techniques103035https://www.ebi.ac.uk/biostudies/studies/S-EPMC11411331biostudies-literatureStabilization of Anterior Aspect of Distal Tibiofibular Syndesmosis: A Fully Arthroscopic Technique.PMC11411331Nawrocki MSroczynski JWrobel MKlos GBochenski WMioduszewski AfalseStabilization of Anterior Aspect of Distal Tibiofibular Syndesmosis: A Fully Arthroscopic Technique.The anteroinferior tibiofibular ligament (AITFL) is 1 of the 4 ligaments forming the distal tibiofibular syndesmosis. When damaged, it is crucial to assess and address the lesion properly because a neglected or underdiagnosed lesion may invoke ankle osteoarthritis with underlying tibiofibular joint instability. In this technical note, we present a fully arthroscopic stabilization of the AITFL without the need for soft-tissue grafting. Our technique aims to create horizontal suture fixation over the damaged AITFL that serves as a mechanically efficient stabilization for the anterior aspect of the distal tibiofibular syndesmosis.2024-01-01T00:00:00Z2024 Sep2025-04-18T15:56:42.788Z2025-04-07T02:52:46.154ZS-EPMC114113313930855910.1016/j.eats.2024.103035