Finished Product

AR-8906DS

Foot and Ankle

Product

Flexible fixation devices like the Knotless Mini TightRope implant afford surgeons an alternative to traditional rigid screw or screw-and-plate fixation for common foot and ankle pathologies, including hallux valgus, Lisfranc injuries, and hallux varus. The Mini TightRope system provides a strong and reproducible construct that stabilizes bones without overconstraining the joint,1 which can lead to early hardware failure and the need for a second hardware removal surgery.
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This knotless, tensionable technology reduces the required number of surgical steps, lowering the risk of soft-tissue irritation from knot stacks and eliminating variability in implant tensioning.
 
Reference
1. Arthrex, Inc. Data on file (APT-05278, APT-05279, APT-05280). Naples, FL; 2021.&nbsp;

Mini TightRope® Fixation System

Child (D)

Procedure

Low energy, purely ligamentous injuries of the Lisfranc joint are difficult to detect and require a high index of suspicion due to their subtle presentation, particularly in athletes. Weightbearing radiographs, in combination with CT and MRI, may be required &nbsp;for proper diagnosis. Any diastasis greater than 2 mm is considered a positive for Lisfranc injury. 

 
Traditional fixation methods using screws and/or plates provide a stable construct for the Lisfranc injury but may overconstrain the joint, resulting in the patient's inability to return to preinjury activity levels. Additionally, rigid fixation often requires a secondary surgery for hardware removal prior to full weightbearing and has the added risk of reduction loss. 

 
Flexible fixation devices such as the 2.7 mm Knotless Mini TightRope® implant and Lisfranc Fixation System for InternalBrace™ repair overcome the shortcomings of rigid fixation and provide a strong1,2 and reproducible construct to stabilize the Lisfranc joint.
 
References 

1. Arthrex, Inc. Data on file (APT-05278). Naples, FL; 2021.
2. Arthrex, Inc. Data on file (APT-05279). Naples, FL; 2021.

Knotless Mini TightRope Implant System, 1.1 mm, Titanium

AR-8906DS

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