Table 2.

Advantages and Disadvantages of Cortical Suspensory Device Fixation of the Proximal Tibiofibular Joint

Advantages	Disadvantages
Small unilateral incision centered over fibula	Reliance on synthetic implant for syndesmotic instability
Allows for range of motion and partial weight bearing within 2-4 weeks and return to sport within 6 months	Free graft reconstruction required in event of failure
Smaller drill size compared to free graft constructs limits secondary fracture
Lack of donor site morbidity from graft harvest