The R3FLEX™ Stabilization System is the next generation of flexible fixation for the syndesmosis. The instrumentation provides surgeons the ability to assess and adjust the tension of the repair intra-operatively. The preparation is performed tri-cortically with a Ø2.8 mm drill bit to alleviate the risk of injury to the saphenous nerve or vein on medial distal tibia. The knotless implant is designed to enable motion across the syndesmosis to better match the native kinematics of the fibula.