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Knotless Syndesmosis TightRope® Implant System

The Syndesmosis TightRope implant system provides fixation of syndesmosis disruptions with or without associated ankle fractures. The Syndesmosis TightRope implant system consists of a #5 UHMWPE, which when tensioned and secured between 2 metallic buttons and placed against the tibia and fibula, provides physiologic stabilization of the ankle mortise.

Advantages of the Syndesmosis TightRope implant system:

• Improved reduction when compared to syndesmosis screws1

• Improved maintenance of reduction when compared to syndesmosis screws2

• No need for routine implant removal

• Supports early weightbearing and accelerated rehabilitation1

• Allows for physiologic motion of the syndesmosis following reduction and fixation

• Improved patient outcomes compared to syndesmosis screws3



1. Naqvi et al. Am J Sports Med. 2012;40(12):2828-2835. doi:10.1177/0363546512461480.

2. Cotton et al. J Foot Ankle Surg. 2009;48(6):620-630. doi:10.1053/j.jfas.2009.07.013.

3. Laflamme et al. J Orthop Trauma. 2015;29(5):216-223. doi:10.1097/BOT.0000000000000245.

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  • Customer Service
    • 1370 Creekside Boulevard
    • Naples, FL 34108
    • United States
    • Phone: +1-800-934-4404
    • Fax: +1-800-643-9310
  • Latex Information

    Arthrex, Inc. products are designed without any latex components or packaging. The primary packaging has been selected to not include latex in any form. If you have any further questions in this regard please contact your Customer Service Representative and they will assist you as promptly as possible.

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