Lisa Gardiner, Sr. Communications Manager    
Arthrex’s Syndesmosis TightRope® XP Implant
  • The Injury: The ligaments in the syndesmosis joint holds two bones, the tibia and the fibula, together. The joint provides stability and allows the ankle to move. Syndesmosis injuries occur when there is a tearing or stretching of the ligaments closest to the ankle joint.
  • The Repair: The Syndesmosis TightRope XP implant system repairs the syndesmosis with or without associated ankle fractures. The implant system consists of a suture, tensioned between two metallic buttons against the tibia and fibula.
  • Advantages of the Syndesmosis TightRope® XP implant: The advantage of the system is there is no need for hardware removal. Typically, one or two metal screws are used to fix the syndesmosis of the ankle The screws can break and need to be removed. Additionally, the surgeon is able to complete the repair without making a medial incision (an incision on the other side of the ankle) as a minimally invasive approach with less soft tissue damage.
  • Return to Play: The TightRope® construct provides needed stability, which can allow for earlier rehabilitation for any patient, not just athletes. It also allows for normal motion of the ankle, meaning the fibula moves up, down and anteriorly and posteriorly.
  • Patients: The Syndesmosis TightRope® implant and Syndesmosis TightRope XP implant have been used to treat more than 300,000 patients worldwide. It is available to all patients, not just high-level athletes. 
  • Surgeons to interview about the Syndesmosis TightRope XP implant:
  • More Resources
About Arthrex
Arthrex Inc., headquartered in Naples, FL, is a global leader in orthopedic surgical device design, research, manufacturing and medical education. Arthrex develops and releases more than 2,000 new products and procedures every year to advance minimally invasive orthopedics worldwide. For more information, visit and