Table 1.

Indications and Contraindications

Indications

Acute isolated and nonisolated unstable syndesmotic injuries requiring a suture button stabilization/fixation

Chronic isolated and nonisolated unstable syndesmotic injuries requiring a suture button stabilization/fixation

Contraindications

Presence of big osteophytes to the ankle joint preventing an adequate introduction of the instruments, as well as a proper visualization of the joint

Decreased or inadequate vascular status

Infections; peripheral arterial occlusive disease

Critical soft-tissue conditions/compromise

Relative contraindication: previous surgery or surgeries to the ankle joint

Severe joint-space narrowing