A stabilization system comprising: a bone plate (100; 500) having an elongate body (102; 502) extending from a proximal end (108; 508) to a distal end (110; 510) along a longitudinal axis (104; 504) and having an enlarged head portion proximate the distal end (110; 510), wherein the bone plate is generally symmetric about the longitudinal axis (104; 504), wherein the bone plate (100; 500) having an elongated slot (130; 530) located along the longitudinal axis having a length greater than its width, wherein the bone plate (100; 500) has a plurality of syndesmotic openings (140; 540) located along the longitudinal axis (104; 504), wherein one of the syndesmotic openings (140; 540) is located adjacent to the elongated slot (130; 530), the syndesmotic openings (140; 540) being sized and dimensioned to accept a suture button, a non-locking screw, or a locking screw, wherein each of the syndesmotic openings (140; 540) includes from a lower surface of the plate to upper surface of the plate at least three different co-axial bores, wherein the bone plate having a plurality of openings (120; 520) in the enlarged head portion, characterized in that the at least three co-axial bores_include a first bore including a threaded portion having a first diameter, a second bore having an unthreaded conical portion with conical side wall located above and adjacent to the threaded portion having a maximum diameter larger than diameter, and a third bore comprising a bowl portion above and adjacent to conical portion having a diameter larger than the maximum diameter proximate to the bowl portion, the bowl portion includes a side wall that circumscribes bowl portion and an annular surface between the side wall and conical portion, the annular surface surrounding a side wall of the conical portion, wherein the bowl portion is configured to receive and retain a button having a lower surface configured to engage the annular surface and fit within side wall. a bone plate (100; 500) having an elongate body (102; 502) extending from a proximal end (108; 508) to a distal end (110; 510) along a longitudinal axis (104; 504) and having an enlarged head portion proximate the distal end (110; 510), wherein the bone plate is generally symmetric about the longitudinal axis (104; 504), wherein the bone plate (100; 500) having an elongated slot (130; 530) located along the longitudinal axis having a length greater than its width, wherein the bone plate (100; 500) has a plurality of syndesmotic openings (140; 540) located along the longitudinal axis (104; 504), wherein one of the syndesmotic openings (140; 540) is located adjacent to the elongated slot (130; 530), the syndesmotic openings (140; 540) being sized and dimensioned to accept a suture button, a non-locking screw, or a locking screw, wherein each of the syndesmotic openings (140; 540) includes from a lower surface of the plate to upper surface of the plate at least three different co-axial bores, wherein the bone plate having a plurality of openings (120; 520) in the enlarged head portion, characterized in that the at least three co-axial bores_include a first bore including a threaded portion having a first diameter, a second bore having an unthreaded conical portion with conical side wall located above and adjacent to the threaded portion having a maximum diameter larger than diameter, and a third bore comprising a bowl portion above and adjacent to conical portion having a diameter larger than the maximum diameter proximate to the bowl portion, the bowl portion includes a side wall that circumscribes bowl portion and an annular surface between the side wall and conical portion, the annular surface surrounding a side wall of the conical portion, wherein the bowl portion is configured to receive and retain a button having a lower surface configured to engage the annular surface and fit within side wall.