Ankle Syndesmotic Injury Fixation Survey Question Title * 1. Which orthopaedic surgery fellowship(s) did you complete? (Select all that apply) Foot and Ankle Sports Medicine Trauma Pediatrics Shoulder and Elbow Hand Oncology Spine Joint Reconstruction None Question Title * 2. How would you describe your practice? Academic Private Question Title * 3. Do you work primarily at a level 1 trauma center? Yes No Question Title * 4. How many years have you been in practice? 0-5 years 5-10 years 10+ years Question Title * 5. How many ankle fractures do you operate on per year? 1-10 11-50 51+ Question Title * 6. How do you assess whether syndesmotic fixation is needed (Select all that apply)? Fracture Pattern Intraoperative Stress Test MRI Arthroscopy Other (please specify) Question Title * 7. Did you train either in residency or fellowship with suture button fixation for syndesmotic injury? Yes No Question Title * 8. On what proportion of syndesmotic stabilization procedures do you use suture button fixation (vs a screw)? 0-24% 25-49% 50-74% 75-100% Question Title * 9. Do you routinely use one or multiple suture buttons for fixation for syndesmotic stabilization? One Multiple N/A (don't use) Question Title * 10. Do you use additional augments such as Internal Brace for increased syndesmotic stability? Yes Sometimes No Question Title * 11. Do you routinely remove syndesmotic screws? Yes No Question Title * 12. Would you consider using syndesmotic suture button fixation (rather than a screw) in situations with a high fibular fracture which is not directly reduced and stabilized (e.g. Maisonneuve fracture)? Yes No Question Title * 13. Would you consider using a syndesmotic suture button fixation (rather than a screw) in patients with distal neuropathy (e.g. diabetic patients)? Yes No Question Title * 14. Do you typically repair the deltoid ligament in unstable ankle fractures with a deltoid ligament rupture? Yes No Question Title * 15. Which factors contribute most to your decision to use of suture button fixation (please select up to 3): Surgeon Comfort Literature Patient demographics Fracture characteristics Cost Availability Biomechanics Other (please specify) Question Title * 16. Which factors contribute most to your lack of use of suture button fixation (please select up to 3): Surgeon Comfort Literature Patient demographics Fracture characteristics Cost Availability Biomechanics Other (please specify) Done