Minimally invasive management of syndesmotic injuries

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.