Treatment of Syndesmosis Disruptions With TightRope Fixation

Open reduction and screw fixation is the current standard treatment for displaced injuries of the ankle syndesmosis. Despite reduction and stable internal fixation, however, these injuries do not uniformly have excellent outcomes. In addition, screw fixation has potential disadvantages. The objective of this article was to provide an overview of the important anatomical and biomechanical issues relating to syndesmosis injuries and to present the surgical technique and potential advantages of fixation with the TightRope implant(Arthrex Inc, Naples, Fla). The short-term results of an ongoing prospective, randomized clinical trial are also presented.