This time, we are especially excited as we are having two awesome guests with us, Benedikte Ræder and Mette Andersen. They are the first and senior authors of two of the most outstanding trials comparing suture button stabilization to single syndesmotic screw fixation in unstable syndesmotic injuries. One study is entitled “Randomized trial comparing suture button with single 3.5 mm syndesmotic screw for ankle syndesmosis injury: similar results at 2 years.” published in the Acta Orthopaedica and the other RCT is entitled “Better outcome for suture button compared with single syndesmotic screw for syndesmosis injury: five-year results of a randomized controlled trial”  published in the Bone and Joint Journal.  As indicated in the title of the two studies, they found conflicting results. And today we have the great privilege to discuss these with them.