{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T14:27:40Z","timestamp":1792160860485,"version":"4.4.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T00:00:00Z","timestamp":1424131200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Malreduction of the syndesmosis can lead to increased peak pressures and subsequent arthritis. The purpose of this study was to evaluate the initial syndesmotic reduction and radiographic maintenance when using a knotless suture button fixation device for treatment of syndesmotic injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective chart and radiographic review was performed to identify patients who underwent open reduction internal fixation of ankle syndesmosis ruptures treated with a knotless, suture button fixation system. Radiographic measurements included medial clear space, tibiofibular overlap, tibiofibular clear space, and the distance between buttons. Fifty-six patients underwent repair of an ankle fracture with syndesmotic rupture over a 3-year period, with a mean follow-up of 160.9 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The tibiofibular clear space and tibiofibular overlap significantly improved from pre- to first postoperative, but also demonstrated some loss of fixation at final follow-up ( P &lt; .001). The distance between the buttons increased on average 1.1 mm from immediate postoperative to final follow-up, demonstrating some postoperative creep and loss of fixation in the system. A low complication rate and need for a revision operation was found in our patient cohort. Some loss of reduction did occur postoperatively, although this did not correlate to adverse patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Syndesmotic stabilization, using a knotless suture button fixation device demonstrated adequate initial syndesmotic reduction, but also exhibited an increase in the tibiofibular clear space and tibiofibular overlap, relative to initial postfixation position, at short-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100715571631","type":"journal-article","created":{"date-parts":[[2015,2,18]],"date-time":"2015-02-18T00:54:38Z","timestamp":1424220878000},"page":"679-684","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":38,"title":["Maintenance of Reduction With Suture Button Fixation Devices for Ankle Syndesmosis Repair"],"prefix":"10.1177","volume":"36","author":[{"given":"Kyle S.","family":"Peterson","sequence":"first","affiliation":[{"name":"Suburban Orthopaedics, Bartlett, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Drew","family":"Chapman","sequence":"additional","affiliation":[{"name":"Harvard Foot and Ankle, Hollywood, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher F.","family":"Hyer","sequence":"additional","affiliation":[{"name":"Orthopedic Foot and Ankle Center, Westerville, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory C.","family":"Berlet","sequence":"additional","affiliation":[{"name":"Orthopedic Foot and Ankle Center, Westerville, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,2,17]]},"reference":[{"key":"bibr1-1071100715571631","doi-asserted-by":"publisher","DOI":"10.1097\/00132587-200603000-00007"},{"key":"bibr2-1071100715571631","unstructured":"Charlton T. Ziptight\n                      TM\n                      Surgical Technique. 2011. http:\/\/www.biomet.com\/sportsMedicine\/getFile.cfm?id=2641&rt=inline."},{"key":"bibr3-1071100715571631","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B3.7744931"},{"key":"bibr4-1071100715571631","doi-asserted-by":"crossref","unstructured":"Cottom JM, Hyer CF, Philbin TM, Berlet GC. Transosseous fixation of the distal tibiofibular syndesmosis: comparison of an interosseous suture and endobutton to traditional screw fixation in 50 cases. J Foot Ankle Surg. 2009;48:620-630. http:\/\/dx.doi.org\/10.1053\/j.jfas.2009.07.013.","DOI":"10.1053\/j.jfas.2009.07.013"},{"key":"bibr5-1071100715571631","doi-asserted-by":"crossref","unstructured":"Cottom JM, Hyer CF, Philbin TM, Berlet GC. Treatment of syndesmotic disruptions with the Arthrex Tightrope: a report of 25 cases. 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J Foot Ankle Surg. 2013;52:563-567. http:\/\/dx.doi.org\/10.1053\/j.jfas.2013.04.013.","DOI":"10.1053\/j.jfas.2013.04.013"},{"key":"bibr13-1071100715571631","doi-asserted-by":"crossref","unstructured":"Schepers T. Acute distal tibiofibular syndesmosis injury: a systematic review of suture-button versus syndesmotic screw repair. Int Orthop. 2012;36:1199-1206. http:\/\/dx.doi.org\/10.1007\/s00264-012-1500-2","DOI":"10.1007\/s00264-012-1500-2"},{"key":"bibr14-1071100715571631","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.1040"},{"issue":"118","key":"bibr15-1071100715571631","first-page":"76","author":"Scranton PE","year":"1976","journal-title":"Clin Orthop Relat Res"},{"key":"bibr16-1071100715571631","doi-asserted-by":"crossref","unstructured":"Storey P, Gadd RJ, Blundell C, Davies MB. Complications of suture button ankle syndesmosis stabilization with modifications of surgical technique. 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