Arthrex knotless TightRope® No knots - No irritation! TightRope Syndesmotic Fixation with New Knotless Technology • Eliminates all possibility of knot irritation. • No need for removal. • Eliminates any knot slipping. • Provides physiologic stabilisation of the ankle mortise. • Allows earlier weight-bearing than screw fixation. • All testing proves as strong or stronger than knotted TightRope*. • Cyclic loading stronger than screws – eliminates screw breakage*. * data on file What suture material is the Knotless TightRope made from? The suture is made from #5 UHMWPE. The knotless construct requires a coreless suture to cinch on itself and in the process, creates a core similar to FiberWire ® . How does the Knotless TightRope work? The #5 UHMWPE suture is manufactured in a way that creates a “fingertrap“ on itself. As the tails of the suture are pulled, the outer core cinches on itself. This creates a locked construct that will not loosen. How strong is the Knotless TightRope compared to the Knotted TightRope? The Knotless TightRope went trough all the same testing as the TightRope and performed as well or better in any test*. * data on file The conversion to the Knotless TightRope will be simple since the technique is exactly the same as the knotted TightRope (except for tying knots).

Tests and Results Force required to reach 3 mm of displacement For more information, see the Syndesmosis TightRope Technique Guide, LT0426. Ordering information • Knotless TightRope Kits are available with stainless steel or titanium buttons. • Both kits include the implant, a cannulated and non-cannulated drill, and a drill guide. Knotless TightRope Syndesmosis Repair Kits contain: Drill bit 3.7 mm, drill guide, oblong button 3.5 mm x 13 mm (medial slide placement), round button 6.5 mm (lateral slide placement), #5 UHMWPE (white), 2-0 FiberWire (white), 2-0 FiberWire (green/ white), GuideWire...