Are peroneal tendons safe after intramedullary fibular nailing? A prospective MRI-based cohort

Intramedullary fibular nailing preserves peroneal tendon integrity and provides reliable syndesmotic stability when performed with proper technique. Tendon morphology and signals remained indistinguishable from healthy controls, and postoperative alignment was consistently anatomic. These findings support IFN as a safe, biologically respectful option for the treatment of unstable ankle fractures.