Tricortical Versus Quadricortical Syndesmosis Fixation in Ankle Fractures

"One of the most controversial aspects of fracture management is the simple question about how to best fix an ankle syndesmosis injury. There is no consensus about the size of screws (3.5 mm or 4.5 mm), number of screws (1 or 2), or number of cortices engaged per screw (3 or 4)."