Long-term outcomes of suture button vs syndesmotic screw fixation for ankle syndesmotic injuries: A systematic review and meta-analysis of randomized controlled trials.
INTRODUCTION Optimal fixation choice for ankle syndesmotic injuries remains uncertain. Traditional syndesmotic screw (SS) fixation provides rigid stabilization but restricts micromotion and may require secondary removal. Dynamic fixation using suture button (SB) allows physiological motion while maintaining reduction....