Adjustable suture-button construct for ankle syndesmosis repair

A method of ankle syndesmosis repair, comprising:

• attaching a bone plate to a fibula,
• wherein attaching the bone plate includes positioning a first bone screw within a first opening of the bone plate;
• preparing a hole through the fibula and a tibia with a drill bit;
• passing a first fixation device through the bone plate and then through the hole until the first fixation device exits at a medial side of the tibia;
• flipping the first fixation device to an engagement position relative to the tibia;
• and
• positioning a second fixation device within a second opening of the bone plate,
• wherein positioning the second fixation device includes applying traction to a free end of a strand of a flexible suture construct that is connected to the first fixation device and the second fixation device,
• wherein the first fixation device and the second fixation device are secured relative to the tibia and the fibula, respectively, without tying knots,
• wherein the flexible suture construct includes at least one spliced section formed by splicing the strand of the flexible suture construct through itself,
• wherein the free end of the strand extends from the at least one spliced section and is received through an aperture formed in a round portion of the second fixation device.