Suture-Button Fixation and Mini-Open Anterior Inferior Tibiofibular Ligament Augmentation Using Suture Tape for Tibiofibular Syndesmosis Injuries

J Foot Ankle Surg. Jan-Feb 2018;57(1):159-161. doi: 10.1053/j.jfas.2017.07.007.


Tibiofibular fixation using suture-button implants is an optional method for the surgical treatment of syndesmosis injuries. Although good clinical outcomes have been reported, inadequate stability between the tibia and fibula has also been documented. Thus, suture-button fixation is not considered the reference standard. For surgical treatment of lateral ligament injuries of the ankle, good treatment outcomes have also been reported with ligament augmentation using nonabsorbable suture tape. Ligament augmentation tape with suture-button fixation could also be promising for improved treatment outcomes in syndesmosis injuries. We describe suture-button fixation together with mini-open anterior inferior tibiofibular ligament augmentation using suture tape for treatment of syndesmosis injuries.

Keywords: internal brace; ligament augmentation; suture-button fixation; syndesmosis injury.

MeSH terms

  • Ankle Injuries / diagnosis
  • Ankle Injuries / surgery*
  • Female
  • Humans
  • Joint Instability / prevention & control*
  • Lateral Ligament, Ankle / surgery*
  • Ligaments, Articular / surgery*
  • Male
  • Minimally Invasive Surgical Procedures / instrumentation
  • Minimally Invasive Surgical Procedures / methods
  • Orthopedic Procedures / instrumentation*
  • Orthopedic Procedures / methods
  • Recovery of Function
  • Surgical Fixation Devices
  • Suture Anchors*
  • Suture Techniques
  • Treatment Outcome