Restoring length, axis and rotation of the fibula
If the fibula is displaced, make sure it is properly reduced.
Use a small bone hook to pull the lateral malleolus distally if necessary, until perfect congruence of the distal tibiofibular joint is achieved.
Check rotation, length and antero-posterior translation of the fibula, by intraoperative radiology and/or direct visual inspection of the syndesmosis. Fix the reduction with a K-wire, if necessary.