The TightRope® device is a contemporary orthopedic internal fixation system for distal tibiofibular syndesmotic injuries, used instead of syndesmotic screws. Unlike syndesmotic screw, it does not need to be removed thereby preventing a second operation. Also earlier weight-bearing can be achieved. A medial ankle incision doesn't need to be made which reduces morbidity.
The device is a braided polyethylene cord (radiolucent) that is anchored medially and laterally with metallic endobuttons (radiopaque).
Disclosure: I, Craig Hacking, have no actual or potential ethical or financial conflict of interest in relation to this device. This case is not intended to be a personal endorsement or recommendation of this product.