In this study, syndesmosis injuries were detected in 143 of the patients who came to Atatürk University Faculty of Medicine, Orthopedics and Traumatology clinic from October 2017 to October 2021 with ankle fractures. 33 of these patients couldn't followed for various reasons. Screw or suture buttone method was applied on 110 patients. And patients were examined with lots of data to compare their results. A retrospective study was conducted.

Inclusion Criteria:

• Ankle fractures associated with syndesmotic injury
• Age group 19-91 years
• Dislocation or non-dislocation ankle fractures
• Fractures due to acute injury (less than 3 weeks)
• Patient compliance with follow-up

Exclusion Criteria:

• Patients younger than 18 years of age
• Conservative treatment
• Pathological and neglected fractures
• Patient's non-compliance with follow-up

Comparison of 110 patients with screw or suture button method.