Minimally invasive management of syndesmotic injuries

Stefan Buchmann, Umile Giuseppe Longo, Nicola Maffulli, Andreas B. Imhoff

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Syndesmotic injuries occur with an incidence varying from 1 % to 11 % of all ankle injuries and is the most important predictive factor for chronic ankle dysfunction after ankle sprains. Therefore adequat treatment is of great importance. For surgical treatment the TightRope™ technique can be considered a good therapeutic option in patients with diastasis of the syndesmotic complex. The placement of the device is quick, can be performed in a minimally invasive fashion, provides a more accurate method of syndesmotic stabilization compared with screw fixation, and obviates the need for hardware removal. Current literature shows excellent reduction of the syndesmosis, with encouraging clinical results and a low rate of complications.

Original languageEnglish
Title of host publicationMinimally Invasive Surgery in Orthopedics
PublisherSpringer International Publishing
Number of pages8
ISBN (Electronic)9783319341095
ISBN (Print)9783319341071
StatePublished - 1 Jan 2016
Externally publishedYes


  • Acute syndesmotic lesions
  • Chronic syndesmotic lesions
  • Cotton test
  • Dynamic stabilization syndesmosis
  • Postoperative treatment
  • Static stabilization syndesmosis
  • TightRope™ system


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