Arthrex is a leader in intraosseous soft tissue fixation. Arthrex offers a variety of soft tissue fixation devices in several product categories for the foot and ankle including ligament repair devices, SutureBridge and SpeedBridge, suture anchors, knotless anchors, tenodesis, and TightRope®.

Foot and Ankle

Product

The FDL Implant System is used for posterior tibial tendon dysfunction. Arthrex has developed the Tenodesis Tension-Slide Technique for FDL tendon transfer. The flexor digitorum longus tendon is traced to the master knot of Henry and harvested. It is then transferred to the navicular and stabilized with the DX button on the dorsal cortex as well as with a Tenodesis screw for aperture fixation. This procedure can be done in conjunction with the InternalBrace™ spring ligament augmentation.

FDL Implant System

The FHL Implant System is used for reinforcement of an Achilles repair. Arthrex has developed the Tenodesis Tension-Slide Technique for FHL tendon transfer. The flexor hallucis longus tendon is traced to the calcaneus and harvested. It is then transferred to the posterior calcaneus and stabilized with the DX button on the plantar cortex, as well as a Tenodesis screw for aperture fixation.

FHL Implant System

Cortical Button Fixation

Human

Cortical button fixation is a simple, reproducible, and biomechanically strong method that allows surgeons to reliably seat the tendon against the cortex of the bone socket, maximizing the surface area for tendon-to-bone healing.1 For tendon or ligament transfers, the Tenodesis Graft Sizing Kit can be used to determine which implant system to open. Using Arthrex's Tension Slide Technique, surgeons can tension the tendon into the tunnel and then add a BioComposite Tenodesis screw for aperture fixation to complete the construct. Cortical button fixation can be used for FDL tendon transfers, FHL tendon transfers, anterior tibialis tendon transfers, and posterior tibialis tendon transfers.
References
1. Arthrex, Inc. Data on file (APT-04032). Naples, FL; 2019.

Secondary (C)

The DX 3.0 mm Knotless SutureTak® anchor for tensionable knotless soft-tissue repair provides the combined benefits of a proven biocomposite and reproducible suture anchor design and insertion procedure with knotless soft-tissue fixation. A tensionable, suture-locking mechanism allows users to control tension under direct visualization and to interconnect anchors for bridging techniques. The DX SutureTak anchor comes with the needle attached.

3.0 mm Knotless SutureTak®

The DX Knotless FiberTak® suture anchor provides the combined benefits of all-suture anchors with knotless soft-tissue fixation. A tensionable, suture-locking mechanism allows users to control the repair tension under direct visualization and the ability to interconnect anchors for bridging techniques. This anchor is ideal for small areas where minimal bone removal and knotless fixation are desired.

DX Knotless FiberTak®

Brostrom repair with the InternalBrace™ procedure provides additional fixation of the repaired ligament backdown to bone during the healing process, allowing early mobility during recovery and a quicker return to activity.1 The InternalBrace 2.0 surgical technique provides surgical versatility with added size and material options. It comes with a talus offset guide that allows for reproducible anatomic placement of the talus SwiveLock® anchor. Surgeons can drill, tap, and implant the SwiveLock anchor through the guide. The InternalBrace technique allows the surgeon to support the primary Brostrom repair of soft tissue to bone for lateral or medial ankle instability repair and can be used for chronic ankle injuries and revisions.
References
1. Kulwin R, Watson TS, Rigby R, Coetzee JC, Vora A. Traditional modified Broström vs suture tape ligament augmentation [published online ahead of print, 2021 Jan 23]. Foot Ankle Int. 2021;1071100720976071. doi:10.1177/1071100720976071
 
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

InternalBrace™ Procedure for Brostrom Repair

Optimize tensioning and fixation without knot tying. The 2.9 mm PushLock suture anchor provides a secure means of knotless fixation in the hand and wrist, as well as the foot and ankle. Accommodating sutures ranging in size from 2-0 FiberWire® to 2.0 mm LabralTape™ sutures, this 2-piece anchor enables a no-profile repair that is quick and straightforward. The 2.9 mm BioComposite Knotless PushLock suture anchor uses a PEEK eyelet to place the sutures at the bottom of a drill hole, allowing precise tension and the ability to lock the sutures in place by impacting the body portion of the anchor.

PushLock® Anchors

The 4.75 mm DX Knotless SwiveLock® anchors for soft-tissue repair provide surgeons the added benefit of a knotless repair retention suture feature. Continuing innovations that enhance the repair options using the versatile SwiveLock anchor are what make it the leading anchor on the market.
<ul>
 <li>Tensionable knotless technology</li>
 <li>Collagen-coated FiberTape® suture</li>
 <li>Free needle included</li>
 <li>Laser-line window indicates when anchor is flush and 2 mm countersunk</li>
 <li>Radiopaque shoulder and marker for anchor placement under fluoroscopy</li>
</ul>

SwiveLock® Anchors

Knotless Suture Anchors

The knotless anchor products are used in a variety of procedures in the shoulder (e.g.&nbsp;rotator cuff repair) as well as scapholunate repair and&nbsp;Ulnar Collateral Ligament repair. The unique PushLock design allows the surgeon to adjust the amount of tension on the tissue intraoperatively, allowing for precise tissue reduction. The tissue is securely held in a knotless fashion, allowing for soft tissue healing to bone. The anchor is available in bioabsorbable (PLLA), BioComposite and PEEK.

The Arthrex Brostrom Repair System allows surgeons to perform a modified Broström-Gould procedure through a single, 1.5 cm incision. The convenient all-in-one system includes 2 BioComposite™ SutureTak® anchors, all the necessary drill guides, the Micro SutureLasso retrievers to help facilitate percutaneous shuttling of the #1 FiberWire® suture through the ATFL and extensor retinaculum.
During simultaneous arthroscopy, surgeons have the option to perform the all-arthroscopic ArthroBrostrom® repair technique using the same instruments from the Arthrex Brostrom Repair System. These techniques offer surgeons 2 truly minimally invasive options to treat patients presenting with lateral ankle instability.

Arthrex® Brostrom Repair

The Nano, Micro, Mini and 3.5 mm Corkscrew FT Suture anchors are designed with a fully threaded length to create maximum cortical purchase in smaller bones.
The Small Joint Corkscrew anchor offers a small inner diameter and large cancellous thread design for maximum holding power in cancellous bone.
Finally, the 3.7 mm Small Joint Bio-Corkscrew® Suture anchor features a unique suture eyelet molded into the body that virtually eliminates suture abrasion during knot tying.

Corkscrew® Anchors

The DX FiberTak® all-suture anchors are ideal for any soft-tissue repair about the foot and ankle and maintain a very high pull-out strength considering the small profile of the anchor.1-3 These anchors offer the benefits, clinical experience, and product support surgeons have come to appreciate from Arthrex.
<ul>
 <li>Single- and Double-Loaded</li>
 <li>1.3 mm SutureTape, 0.9 mm SutureTape, FiberWire® Suture</li>
 <li>1.35 mm K-Wire Drill Recommended</li>
 <li>1.6 mm K-Wire Drill (Hard Bone)</li>
</ul>
References
1. Arthrex, Inc. Data on file (APT-05068). Naples, FL; 2021.
2. Arthrex, Inc. Data on file (APT-03508). Naples, FL; 2018.
3. Arthrex, Inc. Data on file (APT-03296). Naples, FL; 2017.

DX FiberTak® All-Suture Anchors

Threaded anchors provide greater opportunity for bone contact than barbed anchors and also provide a path for removal. Providing excellent strength in a smaller size, this non-absorbable, braided polyblend suture is preloaded for convenience. A short inserter and self-drilling design create a reliable and quick procedure with no additional instrumentation needed. The Small Bone FASTak suture anchor is a fully threaded, 2.4 mm x 7.5 mm titanium suture anchor that is preloaded with 2-0 FiberWire. It comes on a handled inserter with two 17.9 mm 3/8 circle swedged-on tapered needles. It alleviates the need for pre-drilling, while creating an excellent point of fixation. Designed for use in the hand, wrist, and elbow for soft tissue reattachment procedures such as UCL repair of the thumb, ligament repair for scapholunate disassociation in the wrist, as well as ECRB repair in tennis elbow debridement, this device can also be used to repair lateral ankle ligaments for a modified Brostrom procedure. Benefits:
<ul>
 <li>Threaded for Pull-out Strength - Threaded anchors provide greater opportunity for bone contact than barbed anchors, and also provide a path for removal if needed.</li>
 <li>Preloaded with Two Needles and FiberWire - Providing excellent strength in a smaller size, this nonabsorbable, braided polyblend suture is preloaded for convenience.</li>
 <li>Straightforward Technique - A short inserter and self-drilling design create a reliable and quick procedure with no additional instrumentation needed.</li>
</ul>

FASTak® Anchor

BioComposite SutureTak® Anchors
The BioComposite SutureTak anchors are unique “push-in” anchors that are ideal for soft-tissue repair in the foot and ankle.
These anchors offer the benefits, clinical experience, and product support surgeons have come to appreciate from Arthrex.
<ul>
 <li>Sizes — 2.4 mm and 3.0 mm</li>
 <li>Single- and Double-Loaded</li>
 <li>FiberWire® suture, 1.3 mm SutureTape, and 0.9 mm SutureTape</li>
 <li>Ergonomic drivers for extremity usage</li>
 <li>Extremity-specific needles attached</li>
</ul>

SutureTak®

Knotted Suture Anchors

Suture anchors provide the highest attachment strength possible, making technically demanding procedures simpler, safer, and more reproducible. The bioabsorbable anchors are made of PLDLA (poly(L-lactide-co-D, L-lactide)), PLLA ((poly)L-lactide) or BioComposite (PLDLA/Beta tricalcium phosphate). They maintain strength during the critical 12-week soft tissue healing phase and then undergo resorption.

Open repair of acute Achilles tendon ruptures continues to remain controversial among surgeons as they weigh the tradeoffs of reduced re-rupture rates, improved calf strength, and increased return to activity against potential wound healing and infectious complications.1 With the PARS Achilles Midsubstance SpeedBridge™ (AMSS) implant system, surgeons no longer have to compromise.
The benefits of the PARS AMSS system include:
<ul>
 <li>Percutaneous, knotless fixation using BioComposite SwiveLock® anchors</li>
 <li>Augmentation of the repair using high-strength, low-profile FiberWire® SutureTape sutures2</li>
 <li>Reproducible tensioning that eliminates the variability of knot tying</li>
</ul>
 
 
References
1. Hsu AR, Jones CP, Cohen BE, Davis WH, Ellington JK, Anderson RB. Clinical outcomes and complications of percutaneous Achilles repair system versus open technique for acute Achilles tendon ruptures. Foot Ankle Int. 2015;36(11):1279-1286. doi:10.1177/1071100715589632
 
2. Arthrex, Inc. Data on file (LA1-00038); Naples, FL; 2021.

PARS Achilles Midsubstance SpeedBridge™ Implant System

The majority of plantar plate injuries are treated with traditional lesser MTPJ rebalancing procedures, including sequential release of soft tissue, tendon transfers, metatarsal osteotomies, and temporary MTPJ pinning. These approaches, while quick and inexpensive, do not address the underlying issues of loss of toe purchase and the high incidence of reoccurrence often associated with performing an indirect repair. Direct repair of the plantar plate with Arthrex’s family of solutions delivers improved patient outcomes and higher patient satisfaction scores.
Arthrex’s continuous evolution in plantar plate repair has led to the development of a family of products capable of addressing any stage of lesser toe instability, from a partial plantar plate tear with mid-dorsal plane instability to a complete rupture and attenuation of the plantar plate with a crossover toe deformity. Below is the summary of our current offerings:
<ul>
 <li>CPR™ System With the Mini Scorpion™ and Pigtail Lasso Suture Passer</li>
 <li>CPR System With the Viper™ Suture Passer</li>
 <li>CPR System With the Forefoot InternalBrace™ Repair</li>
</ul>

Complete Plantar Plate Repair System (CPR™)

Arthrex has developed a comprehensive, completely disposable system for various augmentation procedures about the forefoot. Most commonly, this implant system can be used for crossover toe deformities of the lesser digits.
Features:
<ul>
 <li>All-in-One System – The implant system comes with 3 mm × 8 mm Tenodesis Screw implants, an oblong button, FiberTape® and LabralTape™ sutures, drill bits, guidewires, and suture shuttling devices in a convenient, sterile package</li>
 <li>Knotless Repair Technique – Allows surgeons to create a strong, no-profile repair construct</li>
 <li>Multiple Technique Options – Implant system can be used to treat numerous pathologies about the forefoot</li>
</ul>
 
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

Forefoot InternalBrace™ Ligament Augmentation Repair Implant System

Achilles tendon ruptures are common in the elite and recreational athlete and most often occur in the noninsertional region of the tendon complex. Most surgeons will elect to treat these injuries surgically, to lessen the risk for re-rupture,1 while providing the opportunity for a quicker recovery and convenient rehabilitation.2 Historically, open techniques have been used to repair the the rupture, but they can be complicated by wound-healing issues and infection.2 This percutaneous and minimally invasive technique minimizes this concern.2 PARS provides the opportunity for consistently reliable capture of the proximal and distal aspects of the Achilles tendon using color-coded SutureTape or FiberWire® suture.
 
 
The anatomically contoured guide is nondisposable, while the suture and passing needles come packaged in one convenient kit. The system provides the option to use transverse or locking sutures, or both. Using the locking option, a locked SutureTape or FiberWire suture can be incorporated on both ends of the ruptured tendon. This results in a stronger repair than just passing transverse sutures across the tendon like other minimally invasive devices on the market.3
 
 
The colored sutures offer a more organized approach to identifying and securing matched pairs. The healed tendon achieves a more natural contour, unlike the typical hypertrophic tendon resulting from open repair.4 This minimally invasive technique is ideal for middle-aged patients, where there may be a heightened concern for wound-healing issues.5
 
 
Advantages: 
 

<ul>
 <li>Minimal incision reduces risk of wound complications2</li>
 <li>Provides the ability to create a locking stitch</li>
 <li>Specialized suture kits—8 different colored SutureTape or FiberWire sutures</li>
 <li>Easy suture management</li>
 <li>Reusable device with numbered, easy-to-follow steps</li>
</ul>
 
 
References
1. Khan RJ, Fick D, Keogh A, Crawford J, Brammar T, Parker M. Treatment of acute achilles tendon ruptures. A meta-analysis of randomized, controlled trials. J Bone Joint Surg Am. 2005;87(10):2202-2210. doi:10.2106/JBJS.D.03049
2. Hsu AR, Jones CP, Cohen BE, Davis WH, Ellington JK, Anderson RB. Clinical outcomes and complications of percutaneous Achilles repair system versus open technique for acute Achilles tendon ruptures. Foot Ankle Int. 2015;36(11):1279-1286. doi:10.1177/1071100715589632
3. Demetracopoulos CA, Gilbert SL, Young E, Baxter JR, Deland JT. Limited-open Achilles tendon repair using locking sutures versus nonlocking sutures: an in vitro model. Foot Ankle Int. 2014;35(6):612-618. doi:10.1177/1071100714524550
4. Henríquez H, Muñoz R, Carcuro G, Bastías C. Is percutaneous repair better than open repair in acute Achilles tendon rupture? Clin Orthop Relat Res. 2012;470(4):998-1003. doi:10.1007/s11999-011-1830-1
5. Del Buono A, Volpin A, Maffulli N. Minimally invasive versus open surgery for acute Achilles tendon rupture: a systematic review. Br Med Bull. 2014;109:45-54. doi:10.1093/bmb/ldt029

PARS Achilles Jig System

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.

Lisfranc Injury Fixation

Ligament and Tendon RepairDevices

Arthrex offers an extensive line of both soft tissue bone anchors from 2.2 mm to 5 mm as well as Tenodesis Screws from 3 mm to 9 mm in various materials (BioComposite, PLLA, PEEK, titanium). This offers surgeons operative flexibility when treating ligament or tendon pathology.

Ligament and Tendon Repair Devices

The new MIS FiberTak® Achilles SpeedBridge™ repair implant system is a novel concept in Achilles reattachment following Haglund’s debridement. This repair enables an hourglass pattern of FiberTape® suture and knotless rip-stop sutures to be laid over the tendon’s distal end in a completely knotless 4-anchor configuration. The Achilles SpeedBridge repair provides rigid tendon fixation with improved tendon-to-bone opposition, allowing for immediate postoperative weightbearing and range of motion.

Minimally Invasive FiberTak® Achilles SpeedBridge™ Repair Implant System

The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape® suture to be laid over the distal end of the tendon. This 4-anchor construct enables a true knotless repair and a greater area of compression for the Achilles tendon on the calcaneus, improving stability such that immediate postoperative weightbearing and range of motion is possible.1
Reference
1. Journal of Foot and Ankle Surgery. 2013;52(5):575-579. doi:10.1053/j.jfas.2012.11.004.

Achilles SpeedBridge™ Repair

The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor,

While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge™ enables an hourglass pattern of FiberWire® suture to be laid over the distal end of the tendon. This four-anchor construct enables a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities.

SutureBridge™

SutureBridge™ and SpeedBridge™

The SutureBridge™ and SpeedBridge™ are novel concepts in Achilles reattachment, following debridement. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. This four-anchor construct enables a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities. The SpeedBridge enables an hourglass pattern of FiberTape® suture to be laid over the distal end of the tendon. This four-anchor construct enables a true knotless repair and a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities.

SutureBridge™ and SpeedBridge™

The Tenodesis screw may be used in conjunction with #2 or 2-0 FiberWire® suture to facilitate intraoperative tissue tensioning and fixation in a predrilled socket. The predrilled socket minimizes incision length, dissection, and overall morbidity. BioComposite, vented PEEK, or titanium Tenodesis screws provide superior and immediate fixation for foot and ankle indications such as Achilles repair, FDL or FHL tendon transfers, and lateral ligament stabilization. The Tenodesis Screw System can also be used for applications in the hand (LTRI), elbow (UCL, distal biceps), and shoulder (rotator cuff repair, proximal biceps), as well as for collateral ligament repair, reconstruction, and secondary graft or suture fixation for ACL or PCL reconstruction. This construct allows for direct tendon-to-bone healing, without hardware prominence.
When used in conjunction, the Tenodesis Screw System and complementary Tenodesis screws eliminate transosseous tunnels in tendon repairs and ligament reconstructions by simplifying tissue fixation in the bone socket while maintaining tension of the tissue throughout fixation. A specially designed, retracting screwdriver with an extended tip tensions the graft near the base of the socket while a unique outer sleeve delivers the Tenodesis screw as the extended driver retracts. This technique is ideally applicable for biceps tendon and collateral ligament repairs. The graft-passing suture holes in the cannulated screws can be used to incorporate anti-slippage mulberry knots at the distal end of the screw. The suture ends can be tied over the screw at the completion of the procedure to provide additional backup fixation, if desired.

Tenodesis Screw

Tenodesis

The Tenodesis Screw System eliminates transosseous tunnels in tendon repairs and ligament reconstructions. Tenodesis screws may be used in conjunction with #2 or 2-0 FiberWire® or FiberLoop® sutures to facilitate intraoperative tissue tensioning and fixation in a predrilled socket. The predrilled socket minimizes incision length, dissection, and overall morbidity.1 BioComposite or vented PEEK screw insertion provides superior and immediate fixation for foot and ankle indications such as Achilles repair, FDL and FHL tendon transfers, and lateral ligament stabilization.2-4 The system can also be used for applications in the hand and elbow (UCL, LRTI, distal biceps) and the shoulder (rotator cuff repair, proximal biceps), as well as for collateral ligament repair, reconstruction, and secondary graft or suture fixation for ACL/PCL reconstruction. This construct allows for direct tendon-to-bone healing, without hardware prominence.
In addition, the tension-slide technique with the FDL and FHL Implant Systems can be used for FDL and FHL anterior tibialis and posterior tibialis tendon transfers. Using cortical button fixation and a tenodesis screw allows for maximum tendon-to-bone contact, a low-profile fixation, and the ability to independently tension the graft, with less need for long tendon harvest and less dissection.
References
1. Benca E, Willegger M, Wenzel F, et al. Biomechanical evaluation of two methods of fixation of a flexor hallucis longus tendon graft. Bone Joint J. 2018;100-B(9):1175-1181. doi:10.1302/0301-620X.100B9.BJJ-2018-0100.R2.
2. Arthrex, Inc. Data on file (APT 1629). Naples, FL; 2010.
3. Arthrex, Inc. Data on file (APT-01322). Naples, FL; 2009.
4. Arthrex, Inc. Data on file (APT 3265). Naples, FL; 2017.

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.
&nbsp; 
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

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.

Syndesmosis TightRope® XP Implant System

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.

TightRope®

The Syndesmosis TightRope®&nbsp;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.&nbsp;Am J Sports Med. 2012;40(12):2828-2835.&nbsp;doi:10.1177/0363546512461480.
2. Cottom et al. J Foot Ankle Surg.&nbsp;2009;48(6):620-630. doi:10.1053/j.jfas.2009.07.013.
3. Laflamme et al.&nbsp;J Orthop Trauma.&nbsp;2015;29(5):216-223. doi:10.1097/BOT.0000000000000245.

Soft Tissue Fixation Devices