Syndesmosis Repair

The Syndesmosis TightRope® XP implant system features a unique delivery mechanism that allows surgeons to insert the implant without pulling a needle through the medial skin. Tensioning handles and a new trocar-tipped drill bit have been added to the implant system. It is available in stainless steel and titanium.

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The Syndesmosis TightRope® XP implant system features a unique delivery mechanism that allows surgeons to insert the implant without pulling a needle through the medial skin. Tensioning handles and a new trocar-tipped drill bit have been added to the implant system. It is available in stainless steel and titanium.

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Celebrating 20 Years of TightRope

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Syndesmosis TightRope® XP Implant System

Surgical Technique Animations | 02:15 | English | 01/24/2018 | AN1-00289-EN B
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Syndesmosis TightRope® XP Implant

Benjamin J. Maxson, DO
Surgical Technique Videos | 03:13 | English | 05/08/2020 | VID1-000634-en-US A
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Cost-Effectiveness of the Syndesmosis TightRope® Implant for Syndesmotic Injuries
Cost-Effectiveness of the Syndesmosis TightRope® Implant for Syndesmotic Injuries
Kaitlin C. Neary, MD
Testimonials | 03:31 | English | 06/10/2019 | VID1-000207-en-US C
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Ankle Fracture Revision Using a FibuLock® Nail and TightRope® XP Implants
Ankle Fracture Revision Using a FibuLock® Nail and TightRope® XP Implants
Hank L. Hutchinson, MD
Case Presentation Videos | 03:30 | English | 10/08/2021 | VID1-002338-en-US A
Syndesmosis TightRope® XP Implant System
Syndesmosis TightRope® XP Implant System
Surgical Technique Guides | English | 02/26/2019 | LT1-00082-EN D
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Syndesmosis Injuries: The TightRope® Fixation System Has Changed the Game
Syndesmosis Injuries: The TightRope® Fixation System Has Changed the Game
Norman E. Waldrop III, MD
Case Presentation Videos | 05:47 | English | 01/16/2020 | VID1-000324-en-US A
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Surgical Technique Videos (8)

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All-Inside Arthroscopic Syndesmosis Repair
All-Inside Arthroscopic Syndesmosis Repair
Kevin D. Martin, DO
11:44 | English | 02/18/2025 | VID1-006963-en-US A
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Syndesmosis Repair With TightRope® Fixation and AITFL Ligament Repair With InternalBrace™ Ligament Augmentation
Syndesmosis Repair With TightRope® Fixation and AITFL Ligament Repair With InternalBrace™ Ligament Augmentation
Steve Martin, MD
08:35 | English | 10/13/2021 | VID1-00769-EN B
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Syndesmosis TightRope® XP Implant
Syndesmosis TightRope® XP Implant
Benjamin J. Maxson, DO
03:13 | English | 05/08/2020 | VID1-000634-en-US A
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Syndesmosis Repair Utilizing the Knotless Syndesmosis TightRope® Implant System
Syndesmosis Repair Utilizing the Knotless Syndesmosis TightRope® Implant System
John T. Riehl, MD
02:14 | English | 08/02/2018 | VID1-00934-EN G
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Ankle Fracture ORIF Utilizing the Syndesmosis TightRope® Fixation
Ankle Fracture ORIF Utilizing the Syndesmosis TightRope® Fixation
J. Chris Coetzee, MD
05:38 | English | 07/30/2018 | VID1-00606-EN E
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Syndesmosis Repair Featuring the Syndesmosis TightRope® XP Implant System
Syndesmosis Repair Featuring the Syndesmosis TightRope® XP Implant System
Thomas G. Harris, MD
04:28 | English | 01/03/2018 | VPT1-00946-EN A
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Syndesmosis TightRope® XP Implant
Syndesmosis TightRope® XP Implant
Lorenzo Gamez, MD
03:28 | English | 11/10/2017 | VPT1-00941-EN B
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Syndesmosis Repair Tips/Pearls with the Syndesmosis TightRope®
Syndesmosis Repair Tips/Pearls with the Syndesmosis TightRope®
Todd M. Oliver, MD
04:42 | English | 03/09/2016 | VID1-00447-EN A

Surgical Technique Animations (4)

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Syndesmosis TightRope® XP Implant System
Syndesmosis TightRope® XP Implant System
02:41 | English | 06/07/2024 | AN1-000037-en-US B
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Stainless Steel Locking Distal Fibula Plate
Stainless Steel Locking Distal Fibula Plate
03:10 | English | 05/17/2021 | AN1-000247-en-US A
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Medial Hook Plate
Medial Hook Plate
Todd M. Oliver, MD
01:54 | English | 05/05/2014 | AN1-00038-EN A
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Lateral Hook Plate
Lateral Hook Plate
Todd M. Oliver, MD
01:59 | English | 05/05/2014 | AN1-00037-EN A

Surgical Technique Guides (8)

Ankle Fracture Management System
Ankle Fracture Management System
English | 09/21/2021 | LT1-00109-EN C
Sistema de implante TightRope® XP para sindesmosis
Sistema de implante TightRope® XP para sindesmosis
Spanish | 12/01/2020 | LT1-00082-es-NT D
Syndesmosis TightRope® XP Buttress Plate Implant System
Syndesmosis TightRope® XP Buttress Plate Implant System
English | 11/12/2020 | LT1-000161-en-US A
Syndesmosis TightRope® XP Implant System
Syndesmosis TightRope® XP Implant System
English | 02/26/2019 | LT1-00082-EN D
Dual Syndesmosis TightRope® Implant System
Dual Syndesmosis TightRope® Implant System
English | 04/11/2017 | LT1-00066-EN A
Fixação TightRope® da sindesmose
Fixação TightRope® da sindesmose
Portuguese | 10/30/2014 | LT1-0426-PT K
Fijación para sindesmosis con TigthRope® sin nudos
Fijación para sindesmosis con TigthRope® sin nudos
Spanish | 09/24/2014 | LT1-0425-ES B
Syndesmoses TightRope® Fixation
Syndesmoses TightRope® Fixation
French | 06/06/2008 | LT0426F A

510(k)s (1)

510K Arthrex Syndesmosis TightRope XP Buttress Plate implant System
510K Arthrex Syndesmosis TightRope XP Buttress Plate implant System
English | 11/12/2020 | K201522 A

Brochures (2)

Sistema de tratamento de fratura no tornozelo
Sistema de tratamento de fratura no tornozelo
Portuguese | 05/18/2016 | LB1-0439-PT F
Sistema para el manejo de las fracturas de tobillo
Sistema para el manejo de las fracturas de tobillo
Spanish | 02/10/2016 | LB1-0439-ES F

Case Presentation Videos (5)

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InternalBrace™ Ligament Augmentation Procedure for AITFL Repair
InternalBrace™ Ligament Augmentation Procedure for AITFL Repair
Lorenzo Gamez, MD
03:03 | English | 01/10/2022 | VPT1-00939-en-US B
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Ligament-Specific Fixation for Syndesmosis Injuries
Ligament-Specific Fixation for Syndesmosis Injuries
Thomas G. Harris, MD
02:42 | English | 11/29/2021 | VID1-000587-en-US B
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Ankle Fracture Revision Using a FibuLock® Nail and TightRope® XP Implants
Ankle Fracture Revision Using a FibuLock® Nail and TightRope® XP Implants
Hank L. Hutchinson, MD
03:30 | English | 10/08/2021 | VID1-002338-en-US A
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Syndesmosis Injuries: The TightRope® Fixation System Has Changed the Game
Syndesmosis Injuries: The TightRope® Fixation System Has Changed the Game
Norman E. Waldrop III, MD
05:47 | English | 01/16/2020 | VID1-000324-en-US A
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Treatment of Syndesmosis Injuries with Syndesmosis TightRope® System
Treatment of Syndesmosis Injuries with Syndesmosis TightRope® System
Mahesh Bagwe, MD
01:50 | English | 01/13/2017 | VPT1-00730-EN B

Catalogs (1)

Foot and Ankle: Next Generation in Foot and Ankle Technology 2023
Foot and Ankle: Next Generation in Foot and Ankle Technology 2023
English | 12/29/2022 | LB1-0450-en-US AH

Coding Guides (1)

Syndesmosis TightRope® Implant System - 2025 Coding and Reimbursement Guidelines
Syndesmosis TightRope® Implant System - 2025 Coding and Reimbursement Guidelines
English | 07/01/2025 | DOC1-001688-en-US B

Inventory Control Forms (1)

Inventory Control Form: Ankle Fracture Management System - AR-8943S
Inventory Control Form: Ankle Fracture Management System - AR-8943S
English | 10/20/2022 | LF1-0439-en-US Q

Patient Education Animations (5)

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Syndesmosis TightRope® XP Implant System
Syndesmosis TightRope® XP Implant System
01:51 | English | 02/06/2020 | pAN1-000037-en-US A
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Mini TightRope®
Mini TightRope®
01:07 | Spanish | 01/01/2009 | PAN1-00008-ES A
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Mini TightRope®
Mini TightRope®
01:07 | German | 01/01/2009 | PAN1-00008-DE A
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Mini TightRope®
Mini TightRope®
01:00 | French | 01/01/2009 | PAN1-00008-FR A
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Mini TightRope®
Mini TightRope®
01:05 | Dutch | 01/01/2009 | PAN1-00008-NL A

Presentation Videos (7)

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Lower Leg Fracture Management for the Sports Medicine Surgeon
Lower Leg Fracture Management for the Sports Medicine Surgeon
Andrew R. Hsu, MD
11:06 | English | 08/31/2018 | VID1-01343-EN C
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Ankle Fixation with the Arthrex Ankle Set
Ankle Fixation with the Arthrex Ankle Set
John T. Riehl, MD
05:13 | English | 04/11/2018 | VPT1-00995-EN B
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Management of Ankle Fracture/Dislocation Utilizing Titanium Anatomic Distal Lateral Fibular Plate
Management of Ankle Fracture/Dislocation Utilizing Titanium Anatomic Distal Lateral Fibular Plate
Justin Fleming, DPM
07:12 | English | 03/30/2018 | VPT1-00885-EN D
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Innovations in Foot and Ankle Trauma for the Sports Surgeon
Innovations in Foot and Ankle Trauma for the Sports Surgeon
Todd Earhart
05:14 | English | 07/26/2017 | VPT1-00837-EN B
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Managing High Ankle Sprains with Syndesmosis TightRope® Fixation System
Managing High Ankle Sprains with Syndesmosis TightRope® Fixation System
Norman E. Waldrop III, MD
08:16 | English | 05/01/2017 | VID1-00996-EN A
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Syndesmosis Treatment in Athletes Utilizing the Knotless TightRope® Syndesmosis Repair Kit
Syndesmosis Treatment in Athletes Utilizing the Knotless TightRope® Syndesmosis Repair Kit
Robert Anderson, MD
04:17 | English | 08/12/2015 | VPT1-00544-EN A
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Arthrex Foot & Ankle Innovation for Sports Surgeons
Arthrex Foot & Ankle Innovation for Sports Surgeons
Steve Martin, MD
19:51 | English | 07/28/2014 | VPT1-00246-EN A

Product Demonstrations (1)

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Ankle Syndesmosis TightRope® Fixation
Ankle Syndesmosis TightRope® Fixation
Todd Earhart
01:18 | English | 05/06/2016 | VID1-00679-EN A

Scientific Updates (1)

Syndesmosis TightRope® XP Implant Scientific Updates
Syndesmosis TightRope® XP Implant Scientific Updates
English | 01/24/2020 | LL1-0401-EN I

Surgeon Newsletters (3)

Arthrex Presents: Breakthroughs in Foot and Ankle Technology Winter 2022
Arthrex Presents: Breakthroughs in Foot and Ankle Technology Winter 2022
English | 01/24/2022 | LN1-000400-en-US A
Arthrex Presents: Breakthroughs in Foot and Ankle Technology
Arthrex Presents: Breakthroughs in Foot and Ankle Technology
English | 05/04/2021 | LN1-000324-en-US A
Arthrex Presents: Breakthroughs in Foot and Ankle Technology Summer 2019
Arthrex Presents: Breakthroughs in Foot and Ankle Technology Summer 2019
English | 09/17/2019 | LN1-000037-en-US A

Surgeon Segment Videos (1)

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High Ankle Sprain Surgical Treatment With the Syndesmosis TightRope® Implant
High Ankle Sprain Surgical Treatment With the Syndesmosis TightRope® Implant
Christopher Adams, MD | Norman E. Waldrop III, MD
04:36 | English | 01/08/2019 | VPT1-00602-EN D

Testimonials (1)

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Cost-Effectiveness of the Syndesmosis TightRope® Implant for Syndesmotic Injuries
Cost-Effectiveness of the Syndesmosis TightRope® Implant for Syndesmotic Injuries
Kaitlin C. Neary, MD
03:31 | English | 06/10/2019 | VID1-000207-en-US C

Syndesmosis TightRope XP, Stainless Steel
AR-8925SS

Syndesmosis TightRope XP, Stainless Steel

Syndesmosis TightRope XP, Titanium
AR-8925T

Syndesmosis TightRope XP, Titanium

Syndesmosis TightRope XP Buttress Plate Implant System, Syndesmosis 2 Hole Buttress Plate, 1.5 mm, Titanium
AR-8959TDS

Syndesmosis TightRope XP Buttress Plate Implant System, Syndesmosis 2 Hole Buttress Plate, 1.5 mm, Titanium

Two-Hole Syndesmosis Plate, 1.5 mm, Stainless Steel
AR-8959-01S

Two-Hole Syndesmosis Plate, 1.5 mm, Stainless Steel

Two-Hole Syndesmosis Plate, 1.5 mm, Titanium
AR-8959-02S

Two-Hole Syndesmosis Plate, 1.5 mm, Titanium

Implant System, Dual TightRope Syndesmosis 2 Hole Buttress Plate, with one 2 Hole Plate, two Knotless TightRope Assemblies, one Threaded BB-Tak, two 1.6 mm Guidepins, Drill Bit, Cannulated Drill Bit, Drill Guide and Guidewire Sleeve
AR-8958TDS

Implant System, Dual TightRope Syndesmosis 2 Hole Buttress Plate, with one 2 Hole Plate, two Knotless TightRope Assemblies, one Threaded BB-Tak, two 1.6 mm Guidepins, Drill Bit, Cannulated Drill Bit, Drill Guide and Guidewire Sleeve

Two Hole Plate, Stainless Steel
AR-8958-01

Two Hole Plate, Stainless Steel

Two Hole Plate, Titanium
AR-8958-02

Two Hole Plate, Titanium

Knotless T-Rope Syndesmosis Repair, Titanium
AR-8926T

Knotless T-Rope Syndesmosis Repair, Titanium

Knotless TightRope Syndesmosis Repair Implant
AR-8926SS

Knotless TightRope Syndesmosis Repair Implant

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