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tore healthy static and dynamic distal tibiofibular anatomy, even in patients who report good to excellent clinical outcomes. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.A tourniquet is used during surgery to produce a bloodless surgical field and decrease intraoperative blood loss. Although useful, tourniquets are associated with various physiological alterations both during inflat