summary

Elastic fixation of the inferior tibiofibular joint using Graftloop button, button plate, and sutures to maintain its micromotion function to restore ankle function and prevented screw loosening, fracture, and second operation.

After bone tunnel created, the Adjustable Graftloop passed through the fibula and tibia sequentially through the guide wire, and then the button plate was snapped into the coils and placed on the medial side of the loop, and the loop were tightened to maintain the stability of the ankle joint.