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Related Experiment Video

Updated: Jul 25, 2026

A Mini-Invasive Internal Fixation Technique for Studying Immobilization-Induced Knee Flexion Contracture in Rats
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An Unusual Outcome Using the TightRope® System in Syndesmotic Injury Management: A Case Report.

Fernando A Fernández-Garza1, Omar F Rodríguez-Rodríguez2, David Muñoz-Leija3

  • 1Traumatology and Orthopedics Department, Instituto de Seguridad Social de Trabajadores del Estado de Nuevo León (ISSSTELEON), Monterrey, MEX.

Cureus
|March 10, 2025
PubMed
Summary

Dynamic ankle fixation using the TightRope system offers an alternative to traditional screws. This case report details complications arising from TightRope fixation, highlighting potential limitations in managing syndesmotic ankle injuries.

Keywords:
ankle fracture managementdynamic fixationpost-operative review ankle fracturesyndesmotic injurytightrope fixation

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Area of Science:

  • Orthopedic surgery
  • Biomechanics of the ankle joint

Background:

  • Syndesmotic ankle injuries significantly impact joint stability and function during weight-bearing.
  • Trans-syndesmotic screws are traditional, but have limitations like restricted micromovement and breakage.
  • Dynamic fixation, such as the TightRope system, has emerged as an alternative.

Observation:

  • A case study of a 54-year-old female patient with a bimalleolar fracture is presented.
  • The patient experienced complications following open reduction and internal fixation (ORIF) using the TightRope system.
  • The clinical course and surgical management of these complications were documented.

Findings:

  • The TightRope system, while offering dynamic fixation, can be associated with specific complications.
  • Understanding these complications is crucial for effective patient management.
  • This case provides insights into the limitations of dynamic fixation techniques.

Implications:

  • This case highlights the importance of considering potential complications associated with dynamic ankle fixation.
  • Further research may be needed to refine dynamic fixation techniques and patient selection.
  • Clinicians should be aware of the risks and benefits when choosing fixation methods for syndesmotic ankle injuries.