**5. Conclusions**

The dynamic and static fixation of syndesmotic injuries in ankle fracture are both efficacious and valid procedures for avoiding ankle instability. The suture button device was comparable to the screw fixation according to functional outcomes and gait analysis.

**Author Contributions:** Conceptualization, G.P.; methodology, G.T.; software, S.D.; validation, G.L.; formal analysis, A.V.; investigation, M.G.; resources, A.V.; data curation, G.P.; writing—original draft preparation, G.P.; writing—review and editing, G.T.; visualization, E.M.; supervision, G.L.; project administration, G.T.; funding acquisition, V.P. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Institutional Review Board Statement:** Ethical review and approval were waived for this study due to the retrospective nature.

**Informed Consent Statement:** Informed consent was obtained from all subjects involved in the study. Written informed consent has been obtained from the patients to publish this paper.

**Data Availability Statement:** The data presented in this study are available in text and in tables.

**Conflicts of Interest:** The authors declare no conflict of interest.

#### **References**


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