Arthrex - TightRope®

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.

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

References
^{1. Naqvi et al. Am J Sports Med}^{. 2012;40(12):2828-2835. doi:10.1177/0363546512461480.}
^{2. Cottom 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.}

See also:
Mini TightRope^® Fixation System,
Syndesmosis TightRope^® XP Implant System

Surgical Technique Videos (16)
- - Syndesmosis Repair Featuring the Syndesmosis TightRope^® XP Implant System
  - File Type:
  - Ref. #: VPT1-00946-EN
  - Version: A
  - Language: English
  - Revision Date: 01/03/2018
  - Presenter: Thomas G. Harris, MD
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- - Syndesmosis TightRope^® XP Implant
  - File Type:
  - Ref. #: VPT1-00941-EN
  - Version: B
  - Language: English
  - Revision Date: 11/10/2017
  - Presenter: Lorenzo Gamez, MD
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- - Ankle Fracture ORIF Utilizing the Syndesmosis TightRope^® Fixation
  - File Type:
  - Ref. #: VID1-00606-EN
  - Version: E
  - Language: English
  - Revision Date: 07/30/2018
  - Presenter: J. Chris Coetzee, MD
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Surgical Technique Animations (8)
- - Syndesmosis TightRope^® XP Implant System
  - File Type:
  - Ref. #: AN1-00289-EN
  - Version: B
  - Language: English
  - Revision Date: 01/24/2018
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- - Lateral Hook Plate
  - File Type:
  - Ref. #: AN1-00037-EN
  - Version: A
  - Language: English
  - Revision Date: 05/05/2014
  - Presenter: Todd M. Oliver, MD
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- - Distal Fibular Plate
  - File Type:
  - Ref. #: AN1-00242-en-US
  - Version: D
  - Language: English
  - Revision Date: 10/20/2021
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Surgical Technique Guides (7)
- - Syndesmosis TightRope^® XP Implant System
  - File Type:
  - Ref. #: LT1-00082-EN
  - Version: D
  - Language: English
  - Revision Date: 02/26/2019
  - Show Translations
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- - Syndesmosis TightRope^® XP Buttress Plate Implant System
  - File Type:
  - Ref. #: LT1-000161-en-US
  - Version: A
  - Language: English
  - Revision Date: 11/12/2020
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- - Ankle Fracture Management System
  - File Type:
  - Ref. #: LT1-00109-EN
  - Version: C
  - Language: English
  - Revision Date: 09/21/2021
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White Papers (3)
- - Load-to-Failure and Cyclic Displacement of the Arthrex Knotless TightRope Syndesmosis and Biomet ZipTight™ Ankle Syndesmosis
  - File Type:
  - Ref. #: LA1-0425-EN
  - Version: B
  - Language: English
  - Revision Date: 03/06/2018
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- - Long-term Cycling of the TightRope Syndesmosis Repair Kit and 4.5 mm Synthes Cortex Screw
  - File Type:
  - Ref. #: LA0424
  - Version: A
  - Language: English
  - Revision Date: 01/01/2012
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- - The Effect of Tunnel Placement in the 2nd Metatarsal on the Ultimate Strength of the 2nd Metatarsal after Hallux Valgus Correction using the TightRope^® System
  - File Type:
  - Ref. #: LA0439
  - Version: A
  - Language: English
  - Revision Date: 01/24/2008
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Presentation Videos (10)
- - InternalBrace™ Ligament Augmentation for AITFL Repair
  - File Type:
  - Ref. #: VPT1-00939-EN
  - Version: A
  - Language: English
  - Revision Date: 03/05/2018
  - Presenter: Lorenzo Gamez, MD
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- - Management of Ankle Fracture/Dislocation Utilizing Titanium Anatomic Distal Lateral Fibular Plate
  - File Type:
  - Ref. #: VPT1-00885-EN
  - Version: D
  - Language: English
  - Revision Date: 03/30/2018
  - Presenter: Justin Fleming, DPM
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- - Trimalleolar Ankle Fracture Dislocation
  - File Type:
  - Ref. #: VID1-01454-EN
  - Version: A
  - Language: English
  - Revision Date: 10/04/2018
  - Presenter: Andre J. Pagliaro, MD
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Surgeon Newsletters (2)
- - Arthrex Presents: Breakthroughs in Foot and Ankle Technology
  - File Type:
  - Ref. #: LN1-000324-en-US
  - Version: A
  - Language: English
  - Revision Date: 05/04/2021
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- - Arthrex Presents: Breakthroughs in Foot and Ankle Technology Summer 2019
  - File Type:
  - Ref. #: LN1-000037-en-US
  - Version: A
  - Language: English
  - Revision Date: 09/17/2019
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Product Demonstrations (1)
- - Ankle Syndesmosis TightRope^® Fixation
  - File Type:
  - Ref. #: VID1-00679-EN
  - Version: A
  - Language: English
  - Revision Date: 05/06/2016
  - Presenter: Todd Earhart
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Patient Education Animations (1)
- - Syndesmosis TightRope^® XP Implant System
  - File Type:
  - Ref. #: pAN1-000037-en-US
  - Version: A
  - Language: English
  - Revision Date: 02/06/2020
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510Ks (2)
- - 510K Arthrex Syndesmosis TightRope XP Buttress Plate implant System
  - File Type:
  - Ref. #: K201522
  - Version: N/A
  - Language: English
  - Revision Date: 11/12/2020
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- - 510K Mini TightRope FT Repair Kit
  - File Type:
  - Ref. #: K071978
  - Version: N/A
  - Language: English
  - Revision Date: 07/09/2013
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Coding Guides (1)
- - 2021 Coding and Reimbursement Guidelines for the Syndesmosis TightRope^® Implant System
  - File Type:
  - Ref. #: OF1-000320-en-US
  - Version: C
  - Language: English
  - Revision Date: 10/08/2021
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Catalogs (2)
- - Foot and Ankle: Next Generation in Foot and Ankle Technology 2021
  - File Type:
  - Ref. #: LB1-0450-EN
  - Version: AE
  - Language: English
  - Revision Date: 06/24/2021
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- - Trauma Next Generation in Repair and Reconstruction 2021
  - File Type:
  - Ref. #: LB1-000242-en-US
  - Version: B
  - Language: English
  - Revision Date: 06/28/2021
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Office Forms & Reference Documents (1)
- - Inventory Control Form: Ankle Fracture Management System - AR-8943S
  - File Type:
  - Ref. #: LF1-0439-EN
  - Version: N
  - Language: English
  - Revision Date: 05/13/2019
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Scientific Updates (1)
- - Syndesmosis TightRope^® XP Implant Scientific Updates
  - File Type:
  - Ref. #: LL1-0401-EN
  - Version: I
  - Language: English
  - Revision Date: 01/24/2020
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Testimonials (2)
- - What Is the Most Effective Implant for Reduction and Fixation of the Syndesmosis?
  - File Type:
  - Ref. #: VID1-000205-en-US
  - Version: A
  - Language: English
  - Revision Date: 06/17/2019
  - Presenter: Kaitlin C. Neary, MD
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- - Cost-Effectiveness of the Syndesmosis TightRope^® Implant for Syndesmotic Injuries
  - File Type:
  - Ref. #: VID1-000207-en-US
  - Version: C
  - Language: English
  - Revision Date: 06/10/2019
  - Presenter: Kaitlin C. Neary, MD
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Case Presentation Videos (6)
- - Weber C Ankle Fracture Stabilization Using the FibuLock^® Nail
  - File Type:
  - Ref. #: VPT1-01049-EN
  - Version: A
  - Language: English
  - Revision Date: 07/27/2018
  - Presenter: Christopher R. Boone, MD
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- - Treatment of Syndesmosis Injuries with Syndesmosis TightRope^® System
  - File Type:
  - Ref. #: VPT1-00730-EN
  - Version: B
  - Language: English
  - Revision Date: 01/13/2017
  - Presenter: Mahesh Bagwe, MD
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- - Ankle Fracture Revision Using a FibuLock^® Nail and TightRope^® XP Implants
  - File Type:
  - Ref. #: VID1-002338-en-US
  - Version: A
  - Language: English
  - Revision Date: 10/08/2021
  - Presenter: Hank L. Hutchinson, MD
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Surgeon Segment Videos (1)
- - High Ankle Sprain Surgical Treatment With the Syndesmosis TightRope^® Implant
  - File Type:
  - Ref. #: VPT1-00602-EN
  - Version: D
  - Language: English
  - Revision Date: 01/08/2019
  - Presenters: Christopher Adams, MD, Norman E. Waldrop III, MD
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