The TightRope® is a unique form of fixation which provides flexible suture based fixation. Comprised of two opposing stainless steel buttons and #2 FiberWire® this one size fit all device improves upon hand and wrist patient care with its immediate strength and versatility.

Hand and Wrist

Product

The Mini TightRope fixation system provides a unique means to suspend the thumb metacarpal and can be used after trapezial resection or removal for treatment of CMC arthritis or thumb CMC instability, and in case of revision with proximal migration after failed tendon reconstruction. 

 
The Mini TightRope implant supports and maintains the thumb and index metacarpals in proper relation while allowing for healing and scar tissue formation in the trapezial space. 

 
The construction consists of 2 strands of #2 FiberWire® that are fixed with 2 oblong stainless steel buttons for cortical fixation. 

 
The trapezial space may be left empty or filled with an allograft "anchovy" spacer.

The Mini TightRope® CMC Technique provides a unique means to suspend the thumb metacarpal after partial or complete trapezial resection for treatment of CMC arthritis, thumb CMC instability and in revision cases. The Mini TightRope implant supports and maintains the thumb and index metacarpals in the proper relationship, while allowing for capsular healing and hematoma and scar tissue formation in the trapezial space. The construct consists of 2 strands of #2 FiberWire® suture, which are fixed with 2 oblong stainless steel buttons for cortical fixation. The trapezial space may be left empty or filled with an autograft, allograft, or artificial spacer.

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video

Mini TightRope®  CMC Technique

Jeffrey Yao, MD, (CA) discusses and demonstrates the surgical technique for the Mini TightRope® implant for CMC arthritis on a cadaveric specimen. The CMC Mini TightRope implant is a technology that allows surgeons to suspend the thumb metacarpal after partial or complete CMC resection. Dr. Yao presents the updated Mini TightRope Kit and discusses pearls and postoperative protocol of the procedure.

The Arthrex Mini TightRope®  Implant

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Mini TightRope® CMC Fixation

Mark DeHaan, MD, (Grand Rapids, MI) demonstrates an alternate two step passing technique to allow more precise and reproducible placement of the CMC Mini TightRope®. The CMC Mini TightRope is a technology that allows surgeons to suspend the thumb metacarpal after partial or complete CMC resection.

TightRope^®

CMC Mini TightRope^® Fixation System

TightRope®

CMC Mini TightRope® Fixation System

TightRope^®

CMC Mini TightRope^® Fixation System