“…suture button vs screw), 7 , 9 , 14 , 16 , 25 intra-patient group comparison, depending on the severity of injuries, 3 outcomes of different grafts during reconstruction (research has shown positive reconstruction result using semitendinosus, peroneus longus) 1 , 4 , 20 , 24 and non-comparative case/cohort studies. 5 , 17 , 18 , 19 , 21 , 22 , 23 Colcuc et al. 4 stated that the choice between fusion versus reconstruction can be determined by the degree and severity of the syndesmosis instability.…”