Dynamic, adjustable fixation for high-performance outcomes
The Tightloop device double button implant for ankle syndesmosis is a dynamic suspensory fixation system. It is engineered to restore anatomic tibiofibular alignment while preserving natural micromotion. Designed to treat acute syndesmotic injuries, chronic instability, and revision cases. This device offers a modern alternative to rigid screw fixation by combining reliable stability with functional mobility. Its low-profile design, strong tensile resistance, and adjustable tensioning support precise reduction and accelerated rehabilitation, especially for active individuals and athletes.
Dynamic reduction and adjustable tension
The system uses titanium cortical buttons with high-strength braided suture. This design allows controlled tension during reduction. The tension can also be adjusted when needed. Dynamic stabilization supports physiologic motion at the distal tibiofibular joint. This motion reduces stiffness and improves outcomes. It also minimizes malreduction risk after surgery.
Early mobilization and lower complication risk
Unlike rigid screw fixation, the dynamic construct eliminates the need for routine implant removal. Early weight-bearing protocols can be safely adopted, decreasing recovery time and mitigating hardware failure, screw breakage, or loss of fixation.
Low-profile and imaging-friendly design
The low-profile button geometry reduces soft-tissue irritation, while radiolucency assists with clear postoperative evaluation. These features are important in long-term monitoring, sports medicine, and complex reconstruction.
| Feature | Description / Benefit |
|---|---|
| Fixation type | Dynamic double-button suspensory construct |
| Material | Titanium buttons + braided high strength suture |
| Drill size | Passes through 3.5 mm tunnel |
| Motion characteristics | Preserves physiologic micromotion |
| Implant removal | No routine removal required |
