Anatomic decrease of the syndesmosis of intense lower leg syndesmodic injury is fundamental for improving useful results and maintaining a strategic distance from posttraumatic osteoarthritis. The point of the examination was to assess the clinical, useful and radiological result of flexible obsession (Nylon Tape stitches Ethibond sutures) in treatment of intense lower leg syndesmodic injury. Patient and strategies : The investigation included 20 patients with intense syndesmodic injury; which was finished by Elastic obsession (Nylon Tape stitches Ethibond stitches). All patients were followed up at about fourteen days, 6 weeks,6 months postoperatively. Evaluation will be done through Radiographic and useful results, AOFAS lower leg hindfoot scores and intricacy identified with a medical procedure. Results: The mean subsequent period was 9.4±2.2 months, the interim of WB was 6.65±0.9 weeks. All Patients had association before the finish of the investigation. The mean AOFAS score was 94.5±7.1. 6 patients (30%) had gentle agony, while 14 patients (70%) had no torment. 16 patients (80%) had no limit of development, while 4 patients (40%) had restrictions of every day action. 18 patients (90%) could walk >6, while 2 patients (10%) strolled 4-6 in particular. 18 patients (90%) had no troublesome in strolling, while 2 patients (10%) had some trouble in strolling. 19 patients (95%) had no step anomaly, while 1 patient (5%) had clear stride variation from the norm. Decision: Elastic obsession is a substantial alternative for syndesmodic wounds. The inclusion procedure is straightforward and gives syndesmosis adjustment without taking out ordinary tibiofibular movement and furthermore deters the requirement for schedule second activity for equipment expulsion, making it possibly financially savvy. The astounding AOFAS score proposing high patient fulfillment.