Trauma | November 2021

FIBULINK Syndesmosis Repair System

Michael Swords, Tim Schepers, Matthew Tomlinson, Christina Kabbash


Adequate treatment of syndesmotic injuries is important to restore ankle function and prevent poor clinical outcomes. Accuracy and maintenance of syndesmosis reduction are considered key factors for a successful treatment. The most common operative treatment method is syndesmotic screw fixation. Syndesmotic screws provide rigid fixation but inhibit the natural tibiofibular movement. Screw breakages are frequently observed. Suture button devices have been developed for “dynamic” syndesmosis fixation with the claimed benefits of allowing physiological motion of the distal tibiofibular joint.

The FIBULINK™ Syndesmosis Repair System (Fig 1) combines the benefits of fixation of a screw and the flexibility of a suture. It is the first adjustable syndesmotic repair system to enable precise, anatomical syndesmotic fixation. The fixation concept addresses limitations of suture button constructs including lack of tension control and medial soft-tissue disruption.

The FIBULINK Syndesmosis Repair System is available in stainless steel and titanium. It can be used in combination with a fibula plate. The system is compatible with the following DePuy Synthes plate holes:

  • 1/3 tubular plate holes (LCP and non-locking)

  • Non-threaded portion of a combi hole in a 2.7 mm/3.5 mm LCP Distal Fibula Plate

  • Syndesmotic slots of a 2.7 mm VA-LCP Lateral Distal Fibula Plate

Additionally, the FIBULINK Implant is compatible with any distal fibula plate hole which accepts a 4 mm non-locking cortex screw.



Fig 1 FIBULINK Syndesmosis Repair System.


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