The OC EcoButton™ Knotless Rope for Syndesmosis is a cutting-edge solution for syndesmosis repair. It features an adjustable loop with a #5 UHMWPE (white) suture for a customized fit. The system includes two titanium buttons: an oblong 10mm button for medial placement and a round 7mm button for lateral placement. Designed for ease of use, the implant has a clear and intuitive suture system, including a leading suture (white) & flipping suture (green/white), and two pulling sutures for effortless implantation and secure placement