Arthrex, Inc.
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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 is comprised 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

• Equivalent fixation strength when compared to syndesmosis screws3

• No need for routine implant removal

• Supports early weight-bearing and accelerated rehabilitation1

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

• Improved patient outcomes compared to syndesmosis screws4



1. American Journal of Sports Medicine. 2012;40(12):2828-2835. doi:10.1177/0363546512461480.

2. Journal of Foot and Ankle Surgery. 2009;48(6):620-630. doi:10.1053/j.jfas.2009.07.013.

3. Arthrex Research and Development. LA0424A. 2012.

4. Journal of Orthopaedic Trauma. 2015;29(5):216-223. doi:10.1097/BOT.0000000000000245.


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