How does ankle syndesmosis surgery work? do they repair the ligaments that are damaged at the same time?

Some do not me: If cn early i only reduced the syndesmosis & transfixed with a screw, post op boot, no wt bearing 6-8 weeks. Then screw removal and rehab. I would always fix in some plantar flexion which gives a tight fit, but dorsiflexion is regained thu rehab. Some longer than others. Others will open & sort of repaire the shreded ligament but i never did. B sure screw is a lag & sticks out the tibial side.