The most common surgery for a broken ankle is open reduction and internal fixation (ORIF), which uses metal rods, plates and screws to realign your bone. 0. Depends: Ak=nkle surgery could be a tumor, fracture or a miriad of problems. A plate and screws is placed on the fibula after reduction and 2 Arthrex Tightrope is placed across the syndesmosis to maintain reduction. Irish31: Chronic Pain: 3: 10-28-2009 10:02 AM: Like walking a tightrope. Immediately after the surgery I had pain between my big toe and the second toe. The tightrope is a relatively new innovation in the treatment of high ankle sprains, in which ligaments and tissues around the leg bones, the tibia and fibula, are loosened and become unstable. On July 6th my I had ankle tightrope surgery. Tensioning handles and a new trocar-tipped drill bit have been added to the implant system. Background/aim The distal tibiofibular joint is described as a syndesmosis. Fixation of ankle syndesmosis injury with a fibre-wire tightrope has previously been reported. I had a small linear tibia fracture and upper fibula fracture of my left leg on June 24th. A higher incidence of syndesmosis injuries occurs in the athletic population, with a majority of those injuries occurring in football. Traditionally, severe syndesmotic injuries with diastasis have been treated surgically with screw fixation. These generally stay in place even after your ankle has healed and are only removed if they cause any problems. For this patient, I teamed up with a sports orthopedist to treat the problem. tightrope ankle surgery. This case series details an ankle syndesmosis tightrope repair and an accelerated rehabilitation protocol that reduces the amount of time to return to professional rugby league in the UK. Dr. Steven Frydman answered. Early clinical results indicate that it can remain in situ indefinitely without complications. 0 comment. It … 2 doctors agree. A 32-year-old member asked: how dangerous is ankle surgery? This type of surgery is usually performed under general anasthetic. The Syndesmosis TightRope ® XP implant system features a unique delivery mechanism that allows surgeons to insert the implant without pulling a needle through the medial skin. For the season, … Foot & Ankle Problems: 6: 03-12-2011 06:11 PM: Broken Leg, Ankle and now crps. It is … 3. 3 thanks. The orthopedist took care to decompress and protect the common peroneal nerve. Depending why you had the durgery will depend the recovery time associated with it ... Read More. “The TightRope is a belt-and-suspenders type of of device that limits motion between the tibia (shin bone) and fibula (calf bone) at the ankle, essentially taking over the job of the ligament while it heals,” said Christopher Hodgkins, M.D., an orthopedic surgeon with Miami Orthopedics & Sports Medicine Institute. A tightrope device provides greater mobility within the ankle joint and a quicker return to sport. Intraop immediate after ORIF (Now, the ankle joint is anatomic and symmetrical. The sports orthopedist stabilized the syndesmosis and addressed the proximal tibiofibular instability with two TightRope (Arthrex) fixations. The fibular fracture may be found 1-2cm (0.5-1 inch) above the ankle joint level, or anywhere higher, including all of the way up to just below the knee. Intraop, stress of the ankle reveals even more widening of ankle joint. There was also a small chondral defect on the talus. Despite that right ankle giving him problems, Sanders put together a strong 2018 campaign before going down with the Achilles. Typically, when the fibular (bone on the outside of the ankle) fracture occurs above the ankle joint level, there is an associated syndesmosis injury. 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