An ankle syndesmosis repair system is designed to stabilize the ankle syndesmosis to allow for the repair of the ankle syndesmosis. The system provides multi-level, multi-directional stabilization of the ankle joint, while providing a sufficient amount of flexibility to the ankle joint. The system includes a suture advancing device, a fibula engaging arrangement, and a tibia engaging arrangement. The suture advancing device is configured to create a plurality of bone tunnels between the fibula engaging arrangement and the tibia engaging arrangement. The fibula engaging arrangement and the tibia engaging arrangement are each configured to receive and secure a plurality of lengths of suture when implanted on the ankle syndesmosis. The plurality of lengths of suture are provided at differing longitudinal and transverse locations relative to the fibula and tibia. The plurality of lengths of suture are also angled with respect to each other.