References
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1. Bischof JE, Spritzer CE, Caputo AM, et al. In vivo cartilage contact strains in patients with lateral ankle instability. J Biomech. 2010;43(13):2561-2566. doi:10.1016/j.jbiomech.2010.05.013
2. Caputo AM, Lee JY, Spritzer CE, et al. In vivo kinematics of the tibiotalar joint after lateral ankle instability. Am J Sports Med. 2009;37(11):2241-2248. doi:10.1177/0363546509337578
3. Orthobullets. Ankle Fractures. Available at: https://www.orthobullets.com/trauma/1047/ankle-fractures. Accessed December 23, 2025.
InternalBrace™ Procedure
1. Coetzee JC, Ellington JK, Ronan JA, Stone RM. Functional results of open Broström ankle ligament repair augmented with a suture tape. Foot Ankle Int. 2018;39.107110071774236. doi:10.1177/1071100717742363
2. Kulwin R, Watson TS, Rigby R, Coetzee JC, Vora A. Traditional modified Broström vs suture tape ligament augmentation. 2021;42(5):554-561. Foot Ankle Int. doi:10.1177/1071100720976071
3. Viens NA, Wijdicks CA, Campbell KJ, Laprade RF, Clanton TO. Anterior talofibular ligament ruptures, part 1: biomechanical comparison of augmented Broström repair techniques with the intact anterior talofibular ligament. Am J Sports Med. 2014;42(2):405-411. doi:10.1177/0363546513510141
4. Waldrop NE 3rd, Wijdicks CA, Jansson KS, LaPrade RF, Clanton TO. Anatomic suture anchor versus the Broström technique for anterior talofibular ligament repair: a biomechanical comparison. Am J Sports Med. 2012;40(11):2590-2596. doi:10.1177/0363546512458420
5. Waterman BR, Belmont PJ, Jr, CameronKL, DeBerardino TM, Owens BD. Epidemiology of ankle sprain at the United States Military Academy. Am J Sports Med. 2010;38:797-803. doi:10.1177/0363546509350757
6. Hiller CE, Nightingale EJ, Raymond J,et al. Prevalence and impact of chronic musculoskeletal ankle disorders in the community. Arch Phys Med Rehabil. 2012;93(10):1801-1807. doi:10.1016/j.apmr.2012.04.023
7. Gribble PA, Bleakley CM, CaulfieldBM, et al. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016;50:1496-1505. doi:10.1136/bjsports-2016-096189
8. Yeung MS, Chan KM, So CH, et al. An epidemiological survey on ankle sprain. Br J Sports Med. 1994;28(2):112-116. doi:10.1136/bjsm.28.2.112
9. Maffulli N, Del Buono A, Maffulli GD, et al. Isolated anterior talofibular ligament Broström repair for chronic lateral ankle instability: 9-year follow-up. Am J Sports Med. 2013;41(4):858-864. doi:10.1177/0363546512474967
10. Arthrex, Inc. Internal data on file. Naples, FL; 2023.
11. Arthrex, Inc. Data on file (LA1-0237). Naples, FL; 2021.
Arthrex Syndesmosis TightRope® Repair
1. Colcuc C, Blank M, Stein T, et al. Lower complication rate and faster return to sports in patients with acute syndesmotic rupture treated with a new knotless suture button device. Knee Surg Sports Traumatol Arthrosc. 2018;26(10):3156-3164. doi:10.1007/s00167-017-4820
2. Orthobullets. Ankle Fractures. Available at: https://www.orthobullets.com/trauma/1047/ankle-fractures. Accessed December 23, 2025.
3. Voight ML, Norman C, Wilk KE, Lucas M, Wolfe C. Management of high ankle sprains utilizing the Tightrope surgical procedure - a novel approach for a rapid return to play. Int J Sports Phys Ther. 2024;19(5):513-521. doi:10.26603/001c.116862
4. Shimozono Y, Hurley ET, Myerson CL, Murawski CD, Kennedy JG. Suture button versus syndesmotic screw for syndesmosis injuries: a meta-analysis of randomized controlled trials. Am J Sports Med. 2019;47(11):2764-2771. doi:10.1177/0363546518804804
5. Grassi A, Samuelsson K, D'Hooghe P, et al. Dynamic stabilization of syndesmosis injuries reduces complications and reoperations as compared with screw fixation: a meta-analysis of randomized controlled trials. Am J Sports Med. 2020;48(4):1000-1013. doi:10.1177/0363546519849909
6. Sanders D, Schneider P, Taylor M, Tieszer C, Lawendy AR; Canadian Orthopaedic Trauma Society. Improved reduction of the tibiofibular syndesmosis with TightRope compared with screw fixation: results of a randomized controlled study. J Orthop Trauma. 2019;33(11):531-537. doi:10.1097/BOT.0000000000001559
Patient Stories
1. Coetzee JC, Ellington JK, Ronan JA, Stone RM. Functional results of open Broström ankle ligament repair augmented with a suture tape. Foot Ankle Int. 2018;39.107110071774236. doi:10.1177/1071100717742363
2. Kulwin R, Watson TS, Rigby R, Coetzee JC, Vora A. Traditional modified Broström vs suture tape ligament augmentation. 2021;42(5):554-561. Foot Ankle Int. 2021;1071100720976071. doi:10.1177/1071100720976071
Frequently Asked Questions
1. Bischof JE, Spritzer CE, Caputo AM, et al. In vivo cartilage contact strains in patients with lateral ankle instability. J Biomech. 2010;43(13):2561-2566. doi:10.1016/j.jbiomech.2010.05.013
2. Caputo AM, Lee JY, Spritzer CE, et al. In vivo kinematics of the tibiotalar joint after lateral ankle instability. Am J Sports Med. 2009;37(11):2241-2248. doi:10.1177/0363546509337578
3. Coetzee JC, Ellington JK, Ronan JA, Stone RM. Functional results of open Broström ankle ligament repair augmented with a suture tape. Foot Ankle Int. 2018;39.107110071774236. doi:10.1177/1071100717742363
4. Kulwin R, Watson TS, Rigby R, Coetzee JC, Vora A. Traditional modified Broström vs suture tape ligament augmentation. 2021;42(5):554-561. Foot Ankle Int. doi:10.1177/1071100720976071
5. Arthrex, Inc. Internal data on file. Naples, FL; 2023.
6. Arthrex, Inc. Data on file (LA1-0237). Naples, FL; 2021.
7. Maffulli N, Del Buono A, Maffulli GD, et al. Isolated anterior talofibular ligament Broström repair for chronic lateral ankle instability: 9-year follow-up. Am J Sports Med. 2013;41(4):858-864. doi:10.1177/0363546512474967
8. Viens NA, Wijdicks CA, Campbell KJ, Laprade RF, Clanton TO. Anterior talo fibular ligament ruptures, part 1: biomechanical comparison of augmented Broström repair techniques with the intact anterior talofibular ligament. Am J Sports Med. 2014;42(2):405-411. doi:10.1177/0363546513510141
9. Waldrop NE 3rd, Wijdicks CA, Jansson KS, LaPrade RF, Clanton TO. Anatomic suture anchor versus the Broström technique for anterior talofibular ligament repair: a biomechanical comparison. Am J Sports Med. 2012;40(11):2590-2596. doi:10.1177/0363546512458420
