A comparative analysis of different suture-button orientations for optimal dynamic stabilization of injured syndesmosis: A finite element study

The results obtained with Model 5 closely approximate those of the healthy ankle and demonstrate its potential as a promising fixation method which preserves critical anatomical structures. This model allows for anatomical reduction of the syndesmosis, effectively prevents pathological syndesmotic motion, and maintains physiological fibular movement. In light of these findings, we believe that Model 5 may be among the preferred techniques in the treatment strategies for syndesmotic injuries.