| Comparative Study for Surgical Treatment of Acute Distal Tibiofibular Syndesmotic Lesions Using the Modified Suture-Button Fixation Versus Static Syndesmotic Screw Fixation. Jlidi M · Foot Ankle Spec · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Syndesmotic Screw Fixation Versus Suture Button Versus Tibiotalocalcaneal Nail Treatment in Syndesmotic Ankle Fractures: A Meta-Analysis. Cho T · Foot Ankle Spec · 2026 · Systematic review / meta-analysis | 2026 | Systematic review / meta-analysisLevel I-II |
| The Minimal Clinically Important Difference of the American Orthopaedic Foot and Ankle Society Ankle Hindfoot Scale in Patients with Unstable Ankle Fracture. Tausendfreund J · Clin Orthop Surg · 2026 · Randomised controlled trial | 2026 | Randomised controlled trialLevel I |
| Deltoid ligament augmentation replacing syndesmotic fixation for the treatment of ankle fractures: a prospective randomized controlled study. Li T · Injury · 2026 · Randomised controlled trial | 2026 | Randomised controlled trialLevel I |
| Tibiofibular stabilization in patients with ankle and posterior malleolus fractures: A systematic review and meta-analysis. Kucher IV · Wiad Lek · 2026 · Systematic review / meta-analysis | 2026 | Systematic review / meta-analysisLevel I-II |
| Syndesmotic screw fixation is associated with higher overall treatment costs when compared with suture button stabilisation in a single UK major trauma centre. Umer HM · Eur J Orthop Surg Traumatol · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| AO type C ankle fractures with additional posterior malleolus fragment: radiological and functional results of osseous reconstruction of the tibiofibular syndesmosis. Franx AL · Eur J Orthop Surg Traumatol · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Comparison of screw and suture-button techniques in the treatment of ankle syndesmotic injuries. Durak YS · Ulus Travma Acil Cerrahi Derg · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Suture Button Syndesmosis Repair Augmented With Nonanatomic vs Anatomic AITFL Reconstruction and the Added Effect of Deltoid Repair: A Cadaveric Biomechanical Study. Carlson MR · Foot Ankle Int · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Hybrid, Suture Button, and Screw Fixation for Syndesmotic Stabilization in Isolated Danis Weber Type B and C Fibular Fractures. Mercan N · Foot Ankle Int · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Effectiveness of suture button fixation vs screw fixation for the management of acute distal tibiofibular syndesmotic injuries: a systematic review and meta-analysis. Cehic MG · JBI Evid Synth · 2026 · Systematic review / meta-analysis | 2026 | Systematic review / meta-analysisLevel I-II |
| Multiplanar Stability After Syndesmotic Screw Fixation vs Deltoid Ligament Repair in a Cadaveric Weber B/SER4b Ankle Fracture Model With Fibular Plate Fixation. Haanæs EKØ · Foot Ankle Int · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Biomechanical comparison of different fixation methods for tibiofibular syndesmosis injuries: a finite element analysis study. Karaca H · BMC Musculoskelet Disord · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Suture button compared with ventral augmentation in unstable syndesmotic injuries : does it affect the quality of distal tibiofibular joint reduction? Scheuer A · Bone Joint J · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Clinical and radiological outcomes of screw fixation and suture-button technique in syndesmosis injuries with isolated lateral malleolus fractures. Bayrak HÇ · J Foot Ankle Surg · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Outcomes of suture button fixation versus embrace fixation for syndesmotic injury. Cao ZL · J Orthop Surg Res · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| A comparative analysis of different suture-button orientations for optimal dynamic stabilization of injured syndesmosis: A finite element study. Taşar K · Jt Dis Relat Surg · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Comparison of elastic fixation and rigid fixation in the treatment of distal tibiofibular syndesmosis injury. Chen K · J Foot Ankle Surg · 2026 · Comparative study | 2026 | Comparative studyLevel II-III |
| Suture button versus syndesmotic screw fixation in acute ankle fractures with syndesmotic injury: An umbrella review of functional outcomes and clinical relevance based on the minimal clinically important difference. Nieuwenkamp CL · Injury · 2026 · Systematic review / meta-analysisKey paper | 2026 | Systematic review / meta-analysisLevel I-II |
| Radiographic outcomes of flexible and rigid fixation techniques of syndesmotic injuries across various body mass indices: A retrospective analysis. Black AT · J Foot Ankle Surg · 2025 · Comparative study | 2025 | Comparative studyLevel II-III |
| Comparison between Suture-Button Technique with Syndesmotic Repair and Screw Fixation Technique for Complete Ankle Syndesmotic Injury: Biomechanical Cadaveric Study. Lee HS · Clin Orthop Surg · 2025 · Comparative study | 2025 | Comparative studyLevel II-III |
| Similar Clinical Outcome in Locking and Conventional Plate Osteosynthesis for the Treatment of AO 44-B2 Ankle Fractures. Schagemann JC · Foot Ankle Spec · 2025 · Comparative study | 2025 | Comparative studyLevel II-III |
| Return-to-sport rate and time in elite athletes after ankle syndesmosis injuries: a systematic review and meta-analysis. Li R · J Orthop Surg Res · 2025 · Systematic review / meta-analysis | 2025 | Systematic review / meta-analysisLevel I-II |
| A Minimally Invasive Fixation Versus Double Plating of Associated Posterior Malleolus and Fibula Fractures-A Comparative Human Cadaveric Biomechanical Study. Ganchev K · Medicina (Kaunas) · 2025 · Comparative study | 2025 | Comparative studyLevel II-III |
| Outcomes of Deltoid Ligament Repair in Surgically Treated Weber C Ankle Fractures With Deltoid Injury: A Retrospective Comparative Study. Attia AK · Foot Ankle Int · 2025 · Comparative study | 2025 | Comparative studyLevel II-III |
| Mini Fragment and Small Fragment Screws are Comparable in Acute Syndesmotic Injury. van den Heuvel SBM · J Foot Ankle Surg · 2025 · Comparative study | 2025 | Comparative studyLevel II-III |
| Routine intramedullary screw versus plate fixation of lateral malleolus fractures. Ward B · Eur J Orthop Surg Traumatol · 2025 · Comparative study | 2025 | Comparative studyLevel II-III |
| Comparison of screw fixation and dynamic fixation in the treatment of ankle fractures with syndesmotic ruptures. Güngör E · Ulus Travma Acil Cerrahi Derg · 2024 · Comparative study | 2024 | Comparative studyLevel II-III |
| Comparison of plate versus screw internal fixation in the treatment of posterior malleolar fracture: A systematic review and meta-analysis. Tu TY · Foot Ankle Surg · 2024 · Systematic review / meta-analysis | 2024 | Systematic review / meta-analysisLevel I-II |
| No difference in early outcomes comparing intramedullary versus extramedullary fibular fixation in operative ankle fractures. Auger K · Injury · 2024 · Comparative study | 2024 | Comparative studyLevel II-III |
| Differences in gait analysis and clinical outcome after dynamic fixation or screw fixation in acute syndesmosis tear: a prospective randomized pilot study. Mick P · Arch Orthop Trauma Surg · 2024 · Randomised controlled trial | 2024 | Randomised controlled trialLevel I |
| Understanding the mechanism of injury and fracture pattern of paediatric triplane ankle fractures versus adult trimalleolar fractures. Prijs J · Bone Joint J · 2024 · Comparative study | 2024 | Comparative studyLevel II-III |
| Comparison of Ankle Fracture Fixation Using Intramedullary Fibular Nailing Versus Plate Fixation. Rushing CJ · J Foot Ankle Surg · 2024 · Comparative study | 2024 | Comparative studyLevel II-III |
| Syndesmotic fixation in Weber B ankle fractures: A systematic review. Lim B · PLoS One · 2024 · Systematic review / meta-analysis | 2024 | Systematic review / meta-analysisLevel I-II |
| Better outcomes using suture button compared to screw fixation in talofibular syndesmotic injuries of the ankle: a level I evidence-based meta-analysis. Migliorini F · Arch Orthop Trauma Surg · 2024 · Systematic review / meta-analysis | 2024 | Systematic review / meta-analysisLevel I-II |
| Syndesmotic injury with ankle fracture: A systematic review of screw vs dynamic fixation. Murphy SC · Ir J Med Sci · 2024 · Systematic review / meta-analysis | 2024 | Systematic review / meta-analysisLevel I-II |
| Syndesmotic Suture Button Fixation Results in Higher Tegner Activity Scale Scores When Compared to Screw Fixation: A Multicenter Investigation. Obey MR · Foot Ankle Spec · 2024 · Comparative study | 2024 | Comparative studyLevel II-III |
| Acute Ankle Diastasis Injuries Treated with Dynamic, Static Fixation or Anatomic Repair: A Meta-Analysis and Systematic Review of Comparison Studies. Liu J · JBJS Rev · 2024 · Systematic review / meta-analysis | 2024 | Systematic review / meta-analysisLevel I-II |
| Cost-effectiveness of on-demand removal of syndesmotic screws. Penning D · Eur J Trauma Emerg Surg · 2023 · Randomised controlled trial | 2023 | Randomised controlled trialLevel I |
| Elite Athletes Successfully Return to the Preinjury Level of Sport Following Ankle Syndesmosis Injuries: A Systematic Review and Meta-Analysis. Bolia IK · Clin J Sport Med · 2023 · Systematic review / meta-analysis | 2023 | Systematic review / meta-analysisLevel I-II |