The Effect of Suture-Button Fixation on Simulated Syndesmotic Malreduction: A Cadaveric Study by Robert W. Westermann, Chamnanni Rungprai, Jessica E. Goetz,

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The Effect of Suture-Button Fixation on Simulated Syndesmotic Malreduction: A Cadaveric Study by Robert W. Westermann, Chamnanni Rungprai, Jessica E. Goetz, John Femino, Annunziato Amendola, and Phinit Phisitkul J Bone Joint Surg Am Volume 96(20): October 15, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Representative axial CT images 10 mm proximal to the tibiotalar joint illustrating the two malalignment conditions. Robert W. Westermann et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

A flowchart demonstrating the order of fixation for all specimens. Robert W. Westermann et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

The Phisitikul technique8 was used for syndesmotic measurement. Robert W. Westermann et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

Representative axial CT images 10 mm proximal to tibiotalar joint. Robert W. Westermann et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

Bar chart with comparative fixations evaluating two syndesmosis repairs (screw and suture- button constructs) that occur in the same ankle through the same drill-holes in the distal aspect of the tibia and fibula. Robert W. Westermann et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.