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Full video article: https://jbjs.org/reader.php?source=JBJS_Essential_Surgical_Techniques/8/2/e13/fulltext&id=30271&rsuite_id=1663009#figures A suture button device provides fixation of syndesmosis injuries of the ankle with or without concomitant malleolar fracture. The suture button device consists of a fiber thread attached between 2 small metal buttons. The buttons are placed on the cortical bone on the medial and lateral sides of the ankle, and the fiber thread is tightened to stabilize the syndesmosis. The suture button device offers stable yet dynamic fixation of the injured syndesmosis.
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