Biomechanical Comparison of Syndesmotic Injury Fixation Methods Using a Cadaveric Model

Abstract

Suture-button devices provided torsional strength below that of screw fixation. However, all devices may provide failure torques well above 20 Nm, exceeding likely torques applied in casts during healing.(1,2,4) CLINICAL RELEVANCE: Suture-button devices appear to have provided adequate fixation strength for syndesmosis injuries.