TightRope® syndesmotic repair
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At the time the case was submitted for publication Craig Hacking had no recorded disclosures.View Craig Hacking's current disclosures
Post op follow up
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Two medial malleolar screws, endobuttons and two transverse syndesmotic bone tunnels are in keeping with ORIF and syndesmotic stabilization. The medial malleolar fracture is united. The ankle is normally aligned.
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.