An Unusual Outcome Using the TightRope® System in Syndesmotic Injury Management: A Case Report

Syndesmotic injuries of the ankle are critical for maintaining joint stability and function, especially during weight-bearing activities. While traditional management involves rigid fixation with trans-syndesmotic screws, limitations such as restricted micromovement, potential screw breakage, and the need for secondary procedures have spurred the adoption of dynamic fixation methods like the TightRope<sup>®</sup> system (Arthrex, Naples, Florida, US). This report presents a case of a 54-year-old female with complications related to TightRope fixation following open reduction and internal fixation (ORIF) of a bimalleolar fracture. The case highlights the clinical course, surgical management, and outcomes, providing valuable insights into the limitations and potential complications of this technique.

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Publication Details

Journal
Cureus
Published
2025-02-06
DOI
https://doi.org/10.7759/cureus.78634
Primary Topic
Foot and Ankle Surgery
Type
article
Field-Weighted Citation Impact
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article

An Unusual Outcome Using the TightRope® System in Syndesmotic Injury Management: A Case Report

Fernando A. Fernández-Garza, Alejandro Quiroga‐Garza, Rodrigo Enrique Elizondo‐Omaña, David Muñoz-Leija et al.
Cureus
Foot and Ankle Surgery
article

An Unusual Outcome Using the TightRope® System in Syndesmotic Injury Management: A Case Report

Fernando A. Fernández-Garza, Alejandro Quiroga‐Garza, Rodrigo Enrique Elizondo‐Omaña, David Muñoz-Leija, Abraham Guadalupe Espinosa-Uribe, Félix Vílchez‐Cavazos, Omar Fernando Rodríguez-Rodríguez
article en

Abstract

Syndesmotic injuries of the ankle are critical for maintaining joint stability and function, especially during weight-bearing activities. While traditional management involves rigid fixation with trans-syndesmotic screws, limitations such as restricted micromovement, potential screw breakage, and the need for secondary procedures have spurred the adoption of dynamic fixation methods like the TightRope<sup>®</sup> system (Arthrex, Naples, Florida, US). This report presents a case of a 54-year-old female with complications related to TightRope fixation following open reduction and internal fixation (ORIF) of a bimalleolar fracture. The case highlights the clinical course, surgical management, and outcomes, providing valuable insights into the limitations and potential complications of this technique.

CureusVol. 17(2)
Mexican Social Security Institute (MX), Universidad Autónoma de Nuevo León (MX), Hospital Universitario Dr José Eleuterio Gonzalez (MX), Institute for Social Security and Services for State Workers (MX)
Openalex Percentile: Top 97%
Foot and Ankle Surgery
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