CONSTRICTOR
ROPE
Knotless. One Size. Pre-Loaded.
A knotless button syndesmosis repair system engineered for precise tensioning, superior biomechanics, and a streamlined OR experience — one implant, every case.
Engineering Specifications
Precise Instrumentation
Self-Locking Mechanism
Novel adjustable self-locking design enables precise, intraoperative graft tensioning with consistent, reproducible results — no guesswork, no knots.
Flat Fixation Band
UHMWPE flat band distributes load evenly across the tibiofibular joint, eliminating the cheese-wire effect.
Low-Profile Titanium Button
Slim titanium button minimizes soft tissue irritation, sits flush against fibular cortex.
Pre-Loaded Sterile Implant
One-size-fits-all, pre-loaded sterile construct simplifies OR setup.
The Limitations
Traditional Screws
Rigid Fixation
Forces non-physiological immobility in a dynamic joint.
High Breakage Risk
Fatigue failure leading to hardware fragmentation.
Requires Removal Surgery
Routine removal required, increasing patient burden and cost.
Malreduction Risk
Over-tightening causes permanent joint mal-alignment.
No Dynamic Accommodation
Cannot adapt to natural ankle micro-kinematics.
The Advancement
Constrictor Rope
Allows Physiological Motion
Restores natural micro-motion of the syndesmosis.
No Breakage / No Removal
Knotless soft-tissue construct eliminates hardware failure and second surgery.
Self-Locking Precise Tension
Eliminates over-tightening risks common with rigid screws.
No Cheese-Wire Effect
Flat band design prevents cortical bone cutting.
Knotless Consistent Fixation
Reproducible tensioning on every case, every surgeon.
Advantages
Why Constrictor Rope
Knotless Design
Eliminates soft tissue irritation from traditional knots.
One Size Fits All
Simplified inventory management. Reduced waste.
No Cheese-Wire Effect
Flat band preserves cortical integrity.
Superior Biomechanics
Engineered for physiological joint dynamics.
Indications
Clinical Use
Designed for versatility across a range of syndesmotic instability scenarios.
- Acute and chronic syndesmosis injuries
- Weber B fractures with syndesmotic disruption
- Weber C fractures with syndesmotic disruption
- Maisonneuve fractures requiring syndesmotic stabilization
- Syndesmotic instability confirmed by stress radiograph or intraoperative assessment
Get Started
Interested in the Constrictor Rope?
Schedule a consultation or request a product demonstration from your Strategic Surgical representative.
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