Treatment of a Neglected Syndesmotic Injury Using a Unique Method of Reduction

Syndesmotic injuries are challenging in diagnosis and management as delays in treating the injury lead to poorer functional outcomes. In this case report, we discuss management of an untreated Maisonneuve fracture. To our knowledge, our technique of using a composite braided suture with internal buttons fixed from the talus to the medial malleolus to supplement our syndesmotic repair has not previously been described.