{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T10:11:21Z","timestamp":1793095881279,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2003,2,1]],"date-time":"2003-02-01T00:00:00Z","timestamp":1044057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2003,2]]},"abstract":"<jats:p>Suture-Endobutton fixation is proposed as a minimally invasive, flexible fixation of ankle tibio-fibular diastasis, which would not require routine removal. This study tested the Suture-Endobutton construct in a cadaver syndesmosis injury model and compared this against A.O. syndesmosis screw fixation. Sixteen embalmed cadaver legs were used. Phase one consisted of placing the leg in a jig, generating an external rotation torque and measuring diastasis with increasing intraosseous membrane division. Phase two then compared the Suture-Endobutton construct vs. single four-cortex 4.5 mm A.O. screw fixation. Diastasis increased significantly with increasing intraosseous membrane division (p&lt;0.001). No significant differences were seen in the mean rate of failure between the Suture-Endobutton and A.O. screw fixation. However, the Suture-Endobutton did give a significantly more consistent performance; the distribution of standard deviations for A.O. screw fixation was 0.64 mm higher than that for the Endobutton (95% C.I. 0.46 to 0.84). These results show that Suture-Endobutton fixation at least equals the performance of screw fixation and encourages clinical trials in ankle injuries with a syndesmosis diastasis.<\/jats:p>","DOI":"10.1177\/107110070302400208","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T12:46:55Z","timestamp":1484138815000},"page":"142-146","source":"Crossref","is-referenced-by-count":106,"title":["Suture-Endobutton Fixation of Ankle Tibio-Fibular Diastasis: A Cadaver Study"],"prefix":"10.1177","volume":"24","author":[{"given":"Brian","family":"Thornes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Hislop","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paraic","family":"Murray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moira","family":"O'Brien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2003,2,1]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1067\/2000.102581"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90015-2"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971100-00014"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B3.7744931"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800811"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198769080-00013"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(98)00116-8"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800503"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199901000-00009"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-02695-3"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658030-00007"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601700506"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198301000-00032"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197607000-00015"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199103000-00014"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701801004"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200104000-00002"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B3.0780395"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199312000-00042"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199506000-00005"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110070302400208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/107110070302400208","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110070302400208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:21:42Z","timestamp":1787728902000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110070302400208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,2]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,2]]}},"alternative-id":["10.1177\/107110070302400208"],"URL":"https:\/\/doi.org\/10.1177\/107110070302400208","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,2]]}}}