So another operation was required fix the Talo-Fibular ligament. Turns out this was damaged as well during the accident and isn’t strong enough to hold the Fibular against the Tibula. This results in movement outwards of the Talus which could lead to problems later on. The Talus had already moved 1mm and apparently this single mm is enough to cause an increase of 40% in pressure on the cartilage between the Talus and the Fibula. To resolve this a couple of temporary screws (Syndosmotic Screw) have been put in to hold the Fibula against the Tibula whilst the ligament heals.