Information for the public
Suture fixation of acute disruption of the distal tibiofibular syndesmosis is safe enough and works well enough for use in the NHS.
Your health professional should fully explain what is involved in having this procedure and discuss the possible benefits and risks with you. You should also be told how to find more information about the procedure. All of this should happen before you decide whether you want to have this procedure or not.
NICE said that reoperation may be needed less often with this procedure and that, theoretically, it might be possible to move more normally after this procedure than when screws are used.
NICE also said that, while there was little information on the long‑term safety of this procedure, it didn't think there were any special long‑term safety concerns.