An adjustable, knotless button / loop construct for fixation of
ankle syndesmosis tibio-fibular diastasis and an associated method of
ankle repair using the same. The knotless construct comprises a pair of buttons attached to a flexible, continuous, self-cinching, adjustable loop integrated with two splices that are interconnected. The knotless construct is passed through fibular and
tibia tunnels and the buttons are secured on the cortical surfaces of
tibia and fibula. One of the buttons (for example, an oblong button) is secured on the
medial side of the
tibia by passing the button and the flexible, adjustable loop though the fibular and tibia tunnels and then flipping and seating the button outside the tibia. The length of the flexible adjustable loop is adjusted so that the second button (for example, a round button) is appropriately secured on the lateral fibula.