Peer-Reviewed Publication
J Foot Ankle Surg2026July 31, 2026Journal Article

Augmented anterior inferior tibiofibular ligament repair and its short-term postoperative effects on 3D syndesmotic volumes: A randomized clinical pilot study.

Ashley M B Suttmiller1, Brice A Snyder2, Stuti Singh3, Blake E Moore2
1Ellmer College of Health Sciences, Macon & Joan Brock Virginia Health Sciences, Old Dominion University, Norfolk, VA, USA. Electronic address: abrawfor@odu.edu.
2Atlantic Orthopaedic Specialists, Virginia Beach, VA, USA.
3CurveBeam AI, Hatfield, PA, USA.

Abstract

BACKGROUND: Dynamic fixation using the TightRope® system has led to improvements in outcomes after complex ankle syndesmotic injuries. Augmenting tightrope fixation with a repair of the anterior inferior tibiofibular ligament has been proposed to reconstruct the syndesmosis more accurately. Clinical studies using this technique are limited. PURPOSE: To determine if surgical technique influenced i…

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