Effective and sustainable syndesmotic injury repair using endobuttons and fibre-wire, in bimalleolar fractures

Ankle fractures are the most frequent accounting for 10% of all fractures, having an incidence about 184/100,000 per year. Moreover, after external rotation or dorsiflexion injuries, syndesmotic disruption typically occurs at ankle. The physiologic normality joint gets affected a transverse screw fixation, which decreases magnitude motion lower extremes tibia and fibula, reducing contact forces between bones, increasing stress on crural interosseous membrane (which may lead to breakage). With this concern, we thus suggested achieving semi-rigid dynamic stabilization syndesmosis, using endobutton transosseous suture. We present case 22-year-old active male who had Lauge-Hansen pronation-abduction type injury. He was managed with eight holes anatomical plate lateral malleolus, two 65 mm CC screws washer medial endobuttons (one tibial other fibular side) sutures provide syndesmosis. suture; can help in early mobilization, is cost effective, prevent second surgery removal screw.