What are the differences between dynamic suture-button and cortical screw fixation for syndesmotic ankle injuries?

Doctor’s answer

Both dynamic suture-button devices and cortical screws are established methods for stabilizing unstable syndesmotic disruptions. Suture-button constructs permit physiological micromotion during healing and have lower rates of planned secondary hardware removal, while screw fixation provides rigid initial stabilization with extensive clinical track record; routine screw removal is generally guided by symptoms and activity goals.

This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.