Name: Syndesmosis TightRope® XP Implant System
Uploaded: 2019-03-08T00:00:00Z
Channel: Arthrex
Description: The Syndesmosis TightRope ® XP implant is indicated for syndesmosis repairs with or without ankle fractures. Isolated syndesmosis injuries or high ankle sprains can be treated with 2 Syndesmosis TightRope XP implants and a 2-hole fibular buttress plate for a minimally invasive construct with no medial incision.

<p>The Syndesmosis TightRope<sup>®</sup> XP implant is indicated for syndesmosis repairs with or without ankle fractures. Isolated syndesmosis injuries or high ankle sprains can be treated with 2 Syndesmosis TightRope XP implants and a 2-hole fibular buttress plate for a minimally invasive construct with no medial incision.</p>

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AN1-000037-en-US | B | Syndesmosis TightRope® XP Implant System

Human

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

Operationstechnik-Animationen

Surgical Technique Animations

Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

Animações de técnicas cirúrgicas

Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

Animaciones de técnicas quirúrgicas

Syndesmosis TightRope® XP Implant System

Isolated syndesmosis injuries can be treated with a minimally invasive technique by using two syndesmosis tightropes and a buttress plate. The Syndesmosis TightRope XP Implant system features a unique delivery mechanism that allows the user to insert a syndesmosis TightRope implant without pulling a needle through the medial skin. The XP gives the user control to flip the medial oblong button below the skin for less soft tissue interposition. A small incision is made along the lateral fibula. The fibula is first reduced as best as possible using a combination of fluoroscopic and visual cues. A low profile two hole syndesmosis plate is inserted along the lateral fibula. Bebe tacks can be inserted to hold plate on bone. Insert the K-wires through the distal hole, aiming 30 degrees. Interior on the medial tibia. A second K-wires is inserted in a diverging fashion. A 3.7mm cannulated drill is used. The inferior K-wires is removed. Insert the TightRope XP through the fibula and tibial bone tunnel. Check under fluoroscopy to ensure the medial button exits the tibial cortex. Position the blue driver in the coronal plane or inferior superior direction. Remove the red safety tab. Deploy the black button on the syndesmosis. Tightrope XP handle. Pull back on the Syndesmosis. Tightrope XP handle. To confirm on fluoroscopy, the oblong button is flipped and seated flush against the medial cortex of the tibia. Unwrap the trailing sutures from the TightRope XP driver to release the round button. Remove the TightRope XP inserter from the bone tunnel. Grasp the center sutures of the round button before tensioning. Slide the round button down to the plate. Wrap each suture tale 2 to 3 times around the XP tensioning handles. Pull the sutures straight back, one at a time. The lateral button will sit flush. A second syndesmosis tightrope is inserted in the same fashion. The suture tails are cut flush. Fixation is complete.

Syndesmosis TightRope® XP Implant System

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