An Anatomical Way of Treating Ankle Syndesmotic Injuries

Assessment of Anatomic Risk During Syndesmotic Stabilization With the Suture Button Technique

“…One potential mode of fixation for this pathologic entity is the suture button technique. Proponents of this method have described equivocal outcomes with a decreased risk of hardware failure compared with screw fixation, a reduced rate of required secondary surgery for hardware removal, and the allowance of some anatomic motion about the syndesmotic complex after insertion (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12).…”

Current trends in the diagnosis and management of syndesmotic injury

“…It remains equally unclear, however, if proper syndesmotic fixation benefits most from the rigid multiplanar fixation conferred by traditional screw and plate constructs. While some publications have documented excellent results using a form of suture button fixation, reports of superficial wound infection, chronic osteomyelitis, irritation from the suture knots, and creeping button migration/bony subsidence have been published using one version of this type of construct (Tightrope, Arthrex, Naples, FL) [51][52][53]. Both construct types seem equally prone to malreduction and technical limitation when there is lack of user familiarity.…”

Acute and Chronic Injuries to the Syndesmosis

“…[130][131][132][133][134][135][136][137][138][139][140][141][142][143][144] A hole is drilled through the fibula and tibia, and then a suture is passed through and secured on both ends via a metallic button. Systematic reviews of low levels of clinical evidence have demonstrated similar functional outcomes, with quicker return to work and less frequent need for implant removal.…”