Design The Syndesmosis TightRope XP implant system features a unique delivery mechanism that allows the user to insert a Syndesmosis TightRope implant without pulling a needle through the medial skin Gives the user control to flip the medial oblong button below the skin for less soft-tissue interposition Tension Handles Designed to tension the Syndesmosis TightRope implant without hurting the surgeon’s fingers Trocar Style Drill Bit Reduces skiving off the fibula when drilling in the transmalleolar plane 30˚ anterior to the coronal plane Indications Provide fixation during the healing process following a syndesmotic trauma Fixation of syndesmosis (syndesmosis disruptions) in connection with Weber B and C ankle fracture Approaches The syndesmosis should be formally reduced prior to fixation and confirmed using fluoroscopy, direct visualization during open reduction, or both based on surgeon preference and severity of injury Technical specifications Stainless Steel & Titanium Drill Guide XP Drill Bit, solid, 3.7 mm Drill Bit, cannulated, 3.7 mm XP Suture Tensioning Handles, qty. 2 Syndesmosis TightRope XP Inserter Guidewire w/ Trocar Tip, 0.049 in Guidewire Sleeve References Naqvi et al. Am J Sports Med. 2012;40(12):2828-2835. doi:10.1177/0363546512461480. Cottom et al. Foot Ankle Surg. 2009;48(6):620-630. doi:10.1053/j.jfas.2009.07.013. Laflamme et al. J Orthop Trauma. 2015;29(5):216-223. doi:10.1097/BOT.0000000000000245.